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General NPI Number Information
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NPI Number | 1447422290
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Entity Type | Organization
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Legal Business Name | TRONG D. NGUYEN, D.D.S., P.A.
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 04/23/2014
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Provider Practice Location Address
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Address Line | 932 E TIDWELL RD
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City | HOUSTON
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State | TX
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Zip | 77022-1826
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Country | US
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Telephone | 713-691-0555
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Fax | 713-691-0921
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Provider Business Mailing Address
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Address Line | 932 E TIDWELL RD
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City | HOUSTON
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State | TX
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Zip | 77022-1826
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Country | US
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Telephone | 713-691-0555
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Fax | 713-691-0921
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Authorized Official
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Title or Position | DENTIST
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Name | DR. TRONG DUC NGUYEN
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Credential | D.D.S.
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Telephone | 713-691-0555
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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 | 23050
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License Number State | TX
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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 | 17939
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License Number State | TX
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