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General NPI Number Information
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NPI Number | 1508221128
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Entity Type | Organization
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Legal Business Name | TONG & NGUYEN DDS INC
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Dates
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Enumeration Date | 12/24/2015
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Last Update Date | 12/24/2015
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Provider Practice Location Address
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Address Line | 9520 TALBERT AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5145
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Country | US
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Telephone | 714-587-9426
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Fax | 714-587-9430
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Provider Business Mailing Address
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Address Line | 9520 TALBERT AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5145
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Country | US
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Telephone | 714-587-9426
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Fax | 714-587-9430
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Authorized Official
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Title or Position | DENTIST
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Name | DR. HUY CHAU TONG
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Credential | DDS
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Telephone | 714-587-9426
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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 | 45397
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 46988
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License Number State | CA
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