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General NPI Number Information
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NPI Number | 1053001156
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Entity Type | Individual
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Provider Name | ANGELA DUONG
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Gender | Female
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 2400 MID LN STE 350
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City | HOUSTON
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State | TX
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Zip | 77027-4466
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Country | US
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Telephone | 281-809-0204
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Fax |
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Provider Business Mailing Address
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Address Line | 1642 DENNIS ST
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City | HOUSTON
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State | TX
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Zip | 77004-1129
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 21681
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License Number State | TX
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