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General NPI Number Information
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NPI Number | 1851004691
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Entity Type | Organization
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Legal Business Name | SNGUYEN & LNGUYEN, PLLC
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Dates
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Enumeration Date | 12/26/2022
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Last Update Date | 12/26/2022
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Provider Practice Location Address
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Address Line | 803 39TH AVE SW STE A
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City | PUYALLUP
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State | WA
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Zip | 98373-3692
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Country | US
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Telephone | 253-446-6147
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Fax | 253-446-6276
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Provider Business Mailing Address
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Address Line | 14912 HIGHWAY 99
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City | LYNNWOOD
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State | WA
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Zip | 98087-2316
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Country | US
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Telephone | 425-260-1536
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. SON C NGUYEN
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Credential | DDS
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Telephone | 425-260-1536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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