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General NPI Number Information
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NPI Number | 1881356962
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Entity Type | Individual
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Provider Name | TERESA MARIE NGUYEN DDS
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Gender | Female
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 12777 VALLEY VIEW ST STE 222
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City | GARDEN GROVE
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State | CA
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Zip | 92845-2522
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Country | US
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Telephone | 714-893-7539
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Fax |
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Provider Business Mailing Address
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Address Line | 12777 VALLEY VIEW ST STE 222
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City | GARDEN GROVE
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State | CA
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Zip | 92845-2522
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Country | US
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Telephone | 714-548-6960
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 104286
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License Number State | CA
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