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General NPI Number Information
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NPI Number | 1699198176
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Entity Type | Organization
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Legal Business Name | DANIEL HUY NGUYEN, DDS, INC.
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 03/17/2014
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Provider Practice Location Address
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Address Line | 8905 GARVEY AVE SUITE A5
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City | ROSEMEAD
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State | CA
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Zip | 91770-3368
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Country | US
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Telephone | 626-288-9126
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Fax | 626-288-9172
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Provider Business Mailing Address
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Address Line | 8905 GARVEY AVE SUITE A5
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City | ROSEMEAD
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State | CA
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Zip | 91770-3368
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Country | US
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Telephone | 626-288-9126
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Fax | 626-288-9172
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Authorized Official
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Title or Position | DENTIST/CEO
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Name | DR. DANIEL HUY NGUYEN
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Credential | D.D.S.
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Telephone | 626-288-9126
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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 | D51114
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License Number State | CA
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