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General NPI Number Information
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NPI Number | 1407415953
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Entity Type | Organization
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Legal Business Name | MICHAEL H. NGUYEN, DDS, DENTAL CARE, PLLC
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Dates
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Enumeration Date | 06/09/2019
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Last Update Date | 06/09/2019
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Provider Practice Location Address
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Address Line | 4215 CRESCENT ST
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4213
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Country | US
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Telephone | 718-451-8484
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Fax | 888-959-9174
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Provider Business Mailing Address
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Address Line | 4215 CRESCENT ST
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4213
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Country | US
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Telephone | 718-451-8484
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Fax | 888-959-9174
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. MICHAEL NGUYEN
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Credential | D.D.S.
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Telephone | 718-451-8484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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