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General NPI Number Information
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NPI Number | 1528121332
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Entity Type | Individual
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Provider Name | DAN NGUYEN DMD
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 09/05/2016
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Provider Practice Location Address
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Address Line | 6415 BABCOCK RD STE 105 SUITE 1
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City | SAN ANTONIO
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State | TX
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Zip | 78249-2963
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Country | US
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Telephone | 210-696-8050
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Fax | 210-696-2018
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Provider Business Mailing Address
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Address Line | 6415 BABCOCK RD SUITE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78249-2980
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Country | US
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Telephone | 210-696-8050
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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 | DN17776
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License Number State | FL
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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 | 25084
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License Number State | TX
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