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General NPI Number Information
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NPI Number | 1467557033
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Entity Type | Individual
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Provider Name | VINCENT HUY NGUYEN DDS
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 8270 MIRA MESA BLVD SUITE D
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City | SAN DIEGO
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State | CA
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Zip | 92126-2634
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Country | US
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Telephone | 858-578-4677
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Fax | 858-605-6774
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Provider Business Mailing Address
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Address Line | 8270 MIRA MESA BLVD SUITE D
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City | SAN DIEGO
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State | CA
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Zip | 92126-2634
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Country | US
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Telephone | 858-578-4677
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Fax | 858-605-6774
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 48757
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License Number State | CA
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