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General NPI Number Information
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NPI Number | 1669795514
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Entity Type | Organization
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Legal Business Name | NINA VINH,DDS,INC
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Dates
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Enumeration Date | 03/07/2010
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 38080 MARTHA AVE STE C
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City | FREMONT
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State | CA
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Zip | 94536-3843
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Country | US
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Telephone | 510-797-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 38080 MARTHA AVE STE C
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City | FREMONT
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State | CA
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Zip | 94536-3843
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Country | US
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Telephone | 510-797-7333
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. NINA VINH
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Credential | DDS
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Telephone | 510-797-7333
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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 | 36206
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License Number State | CA
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