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General NPI Number Information
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NPI Number | 1427349950
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Entity Type | Organization
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Legal Business Name | SUZANNE NGUYEN THAI, DDS, LLP
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 05/02/2011
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Provider Practice Location Address
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Address Line | 3941 FM 2181
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City | CORINTH
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State | TX
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Zip | 76210-4200
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Country | US
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Telephone | 940-594-1198
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Fax |
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Provider Business Mailing Address
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Address Line | 3941 FM 2181
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City | CORINTH
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State | TX
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Zip | 76210-4200
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Country | US
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Telephone | 940-594-1198
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUZANNE NGUYEN THAI
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Credential | D.D.S.
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Telephone | 940-594-1198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 21860
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License Number State | TX
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