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General NPI Number Information
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NPI Number | 1801286323
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Entity Type | Organization
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Legal Business Name | HOUSTON NGUYEN, DDS, INC
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Dates
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Enumeration Date | 02/04/2015
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Last Update Date | 02/04/2015
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Provider Practice Location Address
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Address Line | 1654 E CAPITOL EXPY
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City | SAN JOSE
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State | CA
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Zip | 95121-1839
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Country | US
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Telephone | 408-238-1806
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Fax | 408-238-1877
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Provider Business Mailing Address
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Address Line | 1654 E CAPITOL EXPY
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City | SAN JOSE
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State | CA
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Zip | 95121-1839
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Country | US
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Telephone | 408-238-1806
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Fax | 408-238-1877
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOUSTON NGUYEN
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Credential | DDS
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Telephone | 408-238-1806
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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 | 59254
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License Number State | CA
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