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General NPI Number Information
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NPI Number | 1598010266
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Entity Type | Individual
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Provider Name | VUONG NGUYEN DDS
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Gender | Male
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 07/16/2019
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Provider Practice Location Address
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Address Line | 1901 W 21ST ST N
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City | WICHITA
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State | KS
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Zip | 67203-2106
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Country | US
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Telephone | 316-832-2838
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Fax | 316-832-9530
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Provider Business Mailing Address
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Address Line | 2221 E BIJOU ST STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-8009
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Country | US
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Telephone | 197-576-1850
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Fax | 719-795-5134
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 60863
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License Number State | KS
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