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General NPI Number Information
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NPI Number | 1982406054
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Entity Type | Individual
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Provider Name | THONG NGUYEN DMD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 3600 FM 1488 RD STE 90
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City | CONROE
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State | TX
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Zip | 77384-3818
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Country | US
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Telephone | 936-271-5440
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Fax |
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Provider Business Mailing Address
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Address Line | 2223 ELM RIDGE TRL
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City | TOMBALL
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State | TX
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Zip | 77375-2339
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Country | US
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Telephone |
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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 | 41248
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License Number State | TX
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