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General NPI Number Information
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NPI Number | 1831382282
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Entity Type | Individual
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Provider Name | HONG T NGUYEN D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 11430 SAN PABLO AVE STE 200
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City | EL CERRITO
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State | CA
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Zip | 94530-1969
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Country | US
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Telephone | 510-253-0049
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2420
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City | EL CERRITO
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State | CA
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Zip | 94530-5420
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Country | US
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Telephone | 774-454-6836
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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 | 21932
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 56733
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License Number State | CA
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