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General NPI Number Information
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NPI Number | 1629441266
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Entity Type | Organization
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Legal Business Name | ABOVE AND BEYOND MANAGEMENT
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Dates
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Enumeration Date | 11/04/2015
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Last Update Date | 06/17/2020
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Provider Practice Location Address
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Address Line | 13655 PRESTON RD
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City | DALLAS
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State | TX
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Zip | 75240-4721
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Country | US
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Telephone | 214-357-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 13655 PRESTON RD
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City | DALLAS
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State | TX
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Zip | 75240-4721
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Country | US
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Telephone | 214-357-6100
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Fax |
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Authorized Official
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Title or Position | DOCTOR/PRESIDENT
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Name | DR. NHUT CORY NGUYEN
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Credential | DDS, FICOI, AFAAID
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Telephone | 214-357-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 21686
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License Number State | TX
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