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General NPI Number Information
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NPI Number | 1952563348
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Entity Type | Organization
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Legal Business Name | FRANK T M NGHIEM D.M.D.,P.C
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 1510 DORCHESTER AVE
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City | DORCHESTER
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State | MA
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Zip | 02122-1327
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Country | US
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Telephone | 617-288-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 1510 DORCHESTER AVE
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City | DORCHESTER
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State | MA
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Zip | 02122-1327
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Country | US
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Telephone | 617-288-7600
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Fax |
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Authorized Official
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Title or Position | PRESIDEMT
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Name | DR. FRANK T NGHIEM
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Credential | D.M.D
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Telephone | 617-288-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 16184
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License Number State | MA
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