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General NPI Number Information
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NPI Number | 1619424280
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Entity Type | Organization
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Legal Business Name | AN N. NGUYEN, DDS, MS, INC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 19100 COX AVE SUITE C
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City | SARATOGA
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State | CA
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Zip | 95070
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Country | US
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Telephone | 408-255-6511
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Fax |
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Provider Business Mailing Address
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Address Line | 19100 COX AVE SUITE C
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City | SARATOGA
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State | CA
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Zip | 95070
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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 | PRESIDENT
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Name | DR. AN NHU NGUYEN
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Credential | DDS, MS
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Telephone | 408-255-6511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 63264
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License Number State | CA
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