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General NPI Number Information
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NPI Number | 1548953565
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Entity Type | Organization
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Legal Business Name | VICTORIA NGUYEN LE DDS INC
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Dates
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Enumeration Date | 05/26/2023
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 675 S RANCHO SANTA FE RD STE A
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City | SAN MARCOS
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State | CA
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Zip | 92078-3973
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Country | US
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Telephone | 760-688-4753
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Fax | 760-688-7949
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Provider Business Mailing Address
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Address Line | PO BOX 920050
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City | DALLAS
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State | TX
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Zip | 75392-0050
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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 | OWNER DOCTOR
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Name | VICTORIA NGUYEN
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Credential |
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Telephone | 760-688-4753
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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 |
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License Number State |
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