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General NPI Number Information
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NPI Number | 1427469436
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Entity Type | Organization
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Legal Business Name | AMERICAN DENTAL FAMILY/COSMETIC CARES
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 08/15/2014
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Provider Practice Location Address
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Address Line | 1570 EGYPT RD SUITE 210
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City | PHOENIXVILLE
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State | PA
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Zip | 19460
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Country | US
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Telephone | 610-659-5567
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Fax |
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Provider Business Mailing Address
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Address Line | 1570 EGYPT RD SUITE 210
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City | PHOENIXVILLE
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State | PA
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Zip | 19460
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Country | US
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Telephone | 610-659-5567
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. TRUONG DANG NGUYEN
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Credential | DDS
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Telephone | 610-659-5567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS035931
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License Number State | PA
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