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General NPI Number Information
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NPI Number | 1053612838
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Entity Type | Organization
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Legal Business Name | TRANG T. VO-NGUYEN, MD, LLC
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 6800 LITTLE RIVER TPKE
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City | ANNANDALE
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State | VA
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Zip | 22003-3506
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Country | US
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Telephone | 703-750-6800
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Fax | 703-354-4501
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Provider Business Mailing Address
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Address Line | 6800 LITTLE RIVER TPKE
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City | ANNANDALE
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State | VA
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Zip | 22003-3506
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Country | US
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Telephone | 703-750-6800
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Fax | 703-354-4501
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Authorized Official
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Title or Position | DIRECTOR
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Name | TRANG THUY VO-NGUYEN
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Credential |
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Telephone | 703-750-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0101246352
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License Number State | VA
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