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General NPI Number Information
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NPI Number | 1497932891
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Entity Type | Individual
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Provider Name | CHRISTOPHER KHIEM NGUYEN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 15972 EUCLID ST STE. F
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-1133
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Country | US
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Telephone | 714-839-7660
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Fax | 714-839-7693
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Provider Business Mailing Address
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Address Line | 15972 EUCLID ST STE. F
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-1133
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Country | US
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Telephone | 714-839-7660
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Fax | 714-839-7693
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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 | 39851
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License Number State | CA
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