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General NPI Number Information
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NPI Number | 1083960116
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Entity Type | Individual
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Provider Name | ALEX H VO DMD, MS
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Gender | Male
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Dates
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Enumeration Date | 07/26/2012
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 9600 SW CAPITOL HWY SUITE 140
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City | PORTLAND
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State | OR
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Zip | 97219
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Country | US
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Telephone | 503-922-7280
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Fax | 503-922-7284
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Provider Business Mailing Address
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Address Line | 9600 SW CAPITOL HWY SUITE 140
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City | PORTLAND
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State | OR
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Zip | 97219
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Country | US
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Telephone | 503-922-7280
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Fax | 503-922-7284
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | D9752
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE60603242
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DE-60603242
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License Number State | WA
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