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General NPI Number Information
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NPI Number | 1972290872
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Entity Type | Organization
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Legal Business Name | NGHIA NGUYEN DMD INC.
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 38062 MARTHA AVE
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City | FREMONT
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State | CA
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Zip | 94536-3809
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Country | US
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Telephone | 510-676-8622
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Fax |
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Provider Business Mailing Address
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Address Line | 4002 CORALLINE CT
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City | FREMONT
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State | CA
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Zip | 94555-3318
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Country | US
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Telephone | 510-676-8622
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NGHIA HUU NGUYEN
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Credential | DMD
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Telephone | 510-676-8622
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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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