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General NPI Number Information
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NPI Number | 1154542025
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Entity Type | Individual
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Provider Name | VINH XUAN MAI DDS
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Gender | Male
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1901 E SHIELDS AVE SUITE 226
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City | FRESNO
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State | CA
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Zip | 93726
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Country | US
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Telephone | 559-226-2626
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Fax |
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Provider Business Mailing Address
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Address Line | 6700 AUBURN STREET APT 93
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City | BAKERSFIELD
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State | CA
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Zip | 93330
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Country | US
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Telephone | 661-873-9382
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 49371
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License Number State | CA
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