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General NPI Number Information
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NPI Number | 1699534149
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Entity Type | Organization
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Legal Business Name | LINH NGUYEN DENTAL HYGIENE PRACTICE
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 821 S PHYLLIS CIR
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City | ANAHEIM
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State | CA
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Zip | 92806-4712
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Country | US
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Telephone | 714-987-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 821 S PHYLLIS CIR
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City | ANAHEIM
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State | CA
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Zip | 92806-4712
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Country | US
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Telephone | 714-987-0555
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Fax |
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Authorized Official
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Title or Position | HYGIENIST
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Name | LINH NGUYEN
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Credential | RDHAP
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Telephone | 714-987-0555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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