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General NPI Number Information
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NPI Number | 1699786673
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Entity Type | Organization
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Legal Business Name | NGUYEN & SPROUL DENTAL CORPORATION
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2291 LAS POSITAS RD
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City | LIVERMORE
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State | CA
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Zip | 94551-8893
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Country | US
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Telephone | 925-245-9028
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Fax | 925-245-9058
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Provider Business Mailing Address
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Address Line | 2291 LAS POSITAS RD
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City | LIVERMORE
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State | CA
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Zip | 94551-8893
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Country | US
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Telephone | 925-245-9028
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Fax | 925-245-9058
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. LANKHANH DINH NGUYEN
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Credential | DDS
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Telephone | 925-245-9028
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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 |
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License Number State | CA
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