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General NPI Number Information
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NPI Number | 1023062064
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Entity Type | Organization
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Legal Business Name | VILIEN T DONG
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3007 S DAIRY ASHFORD ST STE 9
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City | HOUSTON
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State | TX
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Zip | 77082-2303
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Country | US
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Telephone | 281-493-4718
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Fax | 281-493-4716
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Provider Business Mailing Address
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Address Line | 3007 S DAIRY ASHFORD ST, STE#9
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City | HOUSTON
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State | TX
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Zip | 77082-2302
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Country | US
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Telephone | 281-493-4718
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Fax | 281-493-4716
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CELINE DONG
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Credential |
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Telephone | 281-493-4718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State | TX
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