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General NPI Number Information
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NPI Number | 1730675836
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Entity Type | Individual
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Provider Name | HONGAN MIMI NGUYEN DMD
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Gender | Female
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Dates
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Enumeration Date | 07/02/2018
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 1925 PROSPECT AVE STE 140
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City | ORLANDO
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State | FL
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Zip | 32814-6384
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Country | US
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Telephone | 407-707-6464
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Fax | 407-853-6464
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Provider Business Mailing Address
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Address Line | 1925 PROSPECT AVE STE 140
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City | ORLANDO
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State | FL
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Zip | 32814-6384
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Country | US
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Telephone | 407-707-6464
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Fax | 407-853-6464
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN23531
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License Number State | FL
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