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General NPI Number Information
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NPI Number | 1447317516
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Entity Type | Organization
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Legal Business Name | QUYNH-TRANG NGUYEN, D.D.S., PLLC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6230C N KINGS HWY
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City | ALEXANDRIA
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State | VA
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Zip | 22303-2442
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Country | US
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Telephone | 703-768-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 6230C N KINGS HWY
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City | ALEXANDRIA
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State | VA
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Zip | 22303-2442
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Country | US
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Telephone | 703-768-9400
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | QUYNH-TRANG NGUYEN
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Credential |
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Telephone | 703-768-9400
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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 | 0401410205
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401410204
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License Number State | VA
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