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General NPI Number Information
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NPI Number | 1780828145
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Entity Type | Organization
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Legal Business Name | S. H. NGUYEN, INC
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 04/29/2009
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Provider Practice Location Address
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Address Line | 15668 W VALLEY HWY
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City | TUKWILA
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State | WA
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Zip | 98188-5534
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Country | US
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Telephone | 425-430-9099
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Fax | 425-430-9829
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Provider Business Mailing Address
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Address Line | 15668 W VALLEY HWY
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City | TUKWILA
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State | WA
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Zip | 98188-5534
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Country | US
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Telephone | 425-430-9099
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Fax | 425-430-9829
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVE H NGUYEN
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Credential | DDS
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Telephone | 425-430-9099
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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 | DE00008242
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License Number State | WA
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