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General NPI Number Information
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NPI Number | 1003977562
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Entity Type | Organization
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Legal Business Name | HOANG TUAN HUY LA, DDS., INC.
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 425 W 7TH ST SUITE 108
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City | HANFORD
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State | CA
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Zip | 93230-4581
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Country | US
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Telephone | 559-584-6109
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Fax | 559-584-8233
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Provider Business Mailing Address
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Address Line | 4616 W CONCORD AVE
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City | VISALIA
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State | CA
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Zip | 93277-5138
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Country | US
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Telephone | 559-738-1078
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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. HOANG TUAN HUY LA
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Credential |
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Telephone | 559-738-1078
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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 | 44914
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License Number State | CA
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