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General NPI Number Information
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NPI Number | 1689369514
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Entity Type | Organization
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Legal Business Name | DUY CHAU NGUYEN DDS PLLC
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Dates
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Enumeration Date | 04/06/2023
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 9142 RICHMOND HWY STE A
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City | FORT BELVOIR
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State | VA
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Zip | 22060-1315
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Country | US
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Telephone | 703-688-2454
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Fax |
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Provider Business Mailing Address
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Address Line | 8160 DOUGLAS FIR DR
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City | LORTON
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State | VA
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Zip | 22079-5657
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Country | US
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Telephone | 703-688-2454
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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. DUY CHAU NGUYEN
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Credential | DDS
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Telephone | 703-688-2454
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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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