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General NPI Number Information
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NPI Number | 1780178483
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Entity Type | Individual
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Provider Name | TRUC-VIEN DINH NGUYEN DDS
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Gender | Female
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 1135 CRABB RIVER RD STE 170
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City | RICHMOND
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State | TX
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Zip | 77469-5896
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Country | US
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Telephone | 281-747-6317
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Fax |
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Provider Business Mailing Address
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Address Line | 14306 AYERS ROCK RD
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City | SUGAR LAND
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State | TX
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Zip | 77498-7594
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Country | US
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Telephone | 281-701-8626
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 34170
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License Number State | TX
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