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General NPI Number Information
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NPI Number | 1457394439
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Entity Type | Individual
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Provider Name | NGOCMAI DANG NGUYEN DDS
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 04/13/2024
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Provider Practice Location Address
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Address Line | 8830 LOUETTA RD
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City | SPRING
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State | TX
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Zip | 77379
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Country | US
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Telephone | 281-376-1101
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Fax | 281-376-4163
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Provider Business Mailing Address
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Address Line | 8830 LOUETTA RD
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City | SPRING
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State | TX
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Zip | 77379
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Country | US
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Telephone | 281-376-1101
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Fax | 281-376-4163
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 19225
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 19225
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License Number State | TX
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