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General NPI Number Information
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NPI Number | 1750794632
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Entity Type | Individual
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Provider Name | ANGELA MYLIEN NGUYEN D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 3301 VETERANS BLVD SUITE 203
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City | METAIRIE
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State | LA
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Zip | 70002
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Country | US
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Telephone | 504-833-6825
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Fax |
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Provider Business Mailing Address
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Address Line | 4923 GILBERT ST
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City | NEW ORLEANS
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State | LA
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Zip | 70129-1634
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Country | US
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Telephone | 713-972-5143
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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 | 6454
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License Number State | LA
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