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General NPI Number Information
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NPI Number | 1649636242
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Entity Type | Organization
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Legal Business Name | AFFORDABLE DENTURES - CANTON, VICTOR H. NGUYEN, DMD, INC.
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 2737 MARET ST NE
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City | CANTON
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State | OH
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Zip | 44705-3909
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Country | US
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Telephone | 330-451-2205
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Fax |
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Provider Business Mailing Address
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Address Line | 2737 MARET ST NE
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City | CANTON
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State | OH
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Zip | 44705-3909
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Country | US
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Telephone | 330-451-2205
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Fax |
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Authorized Official
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Title or Position | DMD/PRACTICE OWNER
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Name | VICTOR NGUYEN
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Credential |
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Telephone | 330-451-2205
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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 | 30.023545
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License Number State | OH
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