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General NPI Number Information
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NPI Number | 1477049906
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Entity Type | Individual
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Provider Name | THUY VY NGUYEN DMD
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Gender | Female
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 07/09/2018
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Provider Practice Location Address
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Address Line | 2947 S BUCKNER BLVD STE 100
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City | DALLAS
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State | TX
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Zip | 75227-6953
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Country | US
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Telephone | 214-381-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 8260 MEADOW RD APT 3409
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City | DALLAS
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State | TX
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Zip | 75231-3737
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Country | US
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Telephone |
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Fax |
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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 | 34313
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License Number State | TX
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