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General NPI Number Information
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NPI Number | 1700324688
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Entity Type | Individual
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Provider Name | LOAN T. NGUYEN D.D.S
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Gender | Female
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Dates
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Enumeration Date | 02/10/2017
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 8570 WESTHEIMER RD
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City | HOUSTON
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State | TX
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Zip | 77063
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Country | US
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Telephone | 832-242-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 2536 AMHERST ST STE A
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City | HOUSTON
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State | TX
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Zip | 77005-3207
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Country | US
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Telephone | 713-992-1504
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 33950
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 33950
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License Number State | TX
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