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General NPI Number Information
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NPI Number | 1659703643
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Entity Type | Organization
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Legal Business Name | HAP V. NGUYEN PHUC DDS PA
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 4601 N LAMAR BLVD SUITE# 503
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City | AUSTIN
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State | TX
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Zip | 78751-2325
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Country | US
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Telephone | 512-454-0300
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Fax | 512-454-0303
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Provider Business Mailing Address
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Address Line | 4601 N LAMAR BLVD SUITE# 503
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City | AUSTIN
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State | TX
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Zip | 78751-2325
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Country | US
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Telephone | 512-454-0300
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Fax | 512-454-0303
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HAP NGUYEN PHUC
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Credential | D.D.S.
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Telephone | 512-454-0300
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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 |
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License Number State |
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