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General NPI Number Information
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NPI Number | 1487703906
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Entity Type | Individual
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Provider Name | VU NGOC NGUYEN D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 04/04/2014
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Provider Practice Location Address
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Address Line | 1381 E BOOT RD
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City | WEST CHESTER
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State | PA
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Zip | 19380-5988
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Country | US
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Telephone | 610-918-4995
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Fax | 610-918-6115
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Provider Business Mailing Address
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Address Line | 101 WYNDHAM LN
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-1186
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Country | US
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Telephone | 267-210-9673
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS037004
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License Number State | PA
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