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General NPI Number Information
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NPI Number | 1689129447
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Entity Type | Individual
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Provider Name | ALAN NGUYEN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2016
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Last Update Date | 01/14/2021
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Provider Practice Location Address
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Address Line | 4909 HIGHWAY 5 N # 700
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City | BRYANT
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State | AR
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Zip | 72022-7002
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Country | US
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Telephone | 501-847-9191
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Fax | 501-847-8337
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Provider Business Mailing Address
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Address Line | 612 W COMMERCE DR STE 1
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City | BRYANT
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State | AR
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Zip | 72022-7517
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Country | US
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Telephone | 501-847-9191
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Fax | 501-847-8337
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4131
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License Number State | AR
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