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General NPI Number Information
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NPI Number | 1811443252
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Entity Type | Individual
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Provider Name | JOHN C. NGUYEN DMD
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Gender | Male
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1515 E ALLUVIAL AVE STE 107
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City | FRESNO
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State | CA
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Zip | 93720-3832
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Country | US
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Telephone | 559-298-3800
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Fax | 559-298-5936
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Provider Business Mailing Address
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Address Line | 1515 E ALLUVIAL AVE STE 107
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City | FRESNO
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State | CA
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Zip | 93720-3832
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Country | US
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Telephone | 559-298-3800
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Fax | 559-298-5936
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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 | DDS101050
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License Number State | CA
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