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General NPI Number Information
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NPI Number | 1902418692
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Entity Type | Individual
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Provider Name | HAN VU NGUYEN DDS
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Gender | Female
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Dates
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Enumeration Date | 08/23/2020
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Last Update Date | 08/23/2020
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Provider Practice Location Address
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Address Line | 1909 N MAIN ST STE 107
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City | PEARLAND
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State | TX
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Zip | 77581-3369
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Country | US
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Telephone | 346-666-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 12827 DOVE POINT LN
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City | HOUSTON
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State | TX
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Zip | 77041-4257
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Country | US
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Telephone | 503-901-4590
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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 | 36601
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License Number State | TX
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