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General NPI Number Information
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NPI Number | 1578266243
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Entity Type | Individual
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Provider Name | HARVEY LONG NGUYEN DDS
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Gender | Male
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Dates
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Enumeration Date | 03/22/2023
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 8465 MEMORIAL BLVD
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City | PORT ARTHUR
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State | TX
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Zip | 77640-7024
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Country | US
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Telephone | 409-853-3107
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Fax |
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Provider Business Mailing Address
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Address Line | 13230 BARROW POINT LN
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City | HOUSTON
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State | TX
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Zip | 77014-1454
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Country | US
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Telephone | 346-218-1315
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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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 | 41558
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License Number State | TX
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