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General NPI Number Information
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NPI Number | 1437482437
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Entity Type | Organization
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Legal Business Name | TUYET-VAN NGUYEN DDS PC
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 09/09/2009
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Provider Practice Location Address
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Address Line | 1421 SHILOH RD STE 270
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City | PLANO
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State | TX
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Zip | 75074-4356
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Country | US
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Telephone | 972-516-2288
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Fax | 972-516-2290
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Provider Business Mailing Address
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Address Line | 1030 BRENTWOOD DR
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City | MURPHY
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State | TX
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Zip | 75094-4441
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Country | US
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Telephone | 972-516-2288
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Fax | 972-516-2290
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Authorized Official
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Title or Position | OWNER
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Name | DR. TUYET-VAN THI NGUYEN
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Credential | DDS
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Telephone | 972-516-2288
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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 | 21585
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License Number State | TX
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