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General NPI Number Information
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NPI Number | 1023422664
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Entity Type | Individual
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Provider Name | AI KHIEM VO D.D.S
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Gender | Female
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Dates
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Enumeration Date | 06/11/2014
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 10995 OWINGS MILLS BLVD STE 218
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City | OWINGS MILLS
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State | MD
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Zip | 21117-1030
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Country | US
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Telephone | 240-643-1766
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Fax |
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Provider Business Mailing Address
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Address Line | 15715 MURPHYS TIN ST
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City | SILVER SPRING
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State | MD
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Zip | 20906-1156
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Country | US
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Telephone | 240-643-1766
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 15699
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License Number State | MD
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