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General NPI Number Information
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NPI Number | 1760693931
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Entity Type | Individual
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Provider Name | ADELINE H NGUYEN DDS
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Gender | Female
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Dates
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Enumeration Date | 05/26/2007
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 425 S PACIFIC AVE
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City | SAN PEDRO
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State | CA
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Zip | 90731-2625
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Country | US
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Telephone | 310-547-0202
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Fax |
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Provider Business Mailing Address
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Address Line | 15862 ROSE LN
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City | WESTMINSTER
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State | CA
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Zip | 92683-7334
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Country | US
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Telephone | 714-658-0808
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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 | 49956
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License Number State | CA
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