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NPI 1215103130

NPI 1215103130 : DAVID HUNG VU D.D.S. : PASADENA, TX

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General NPI Number Information
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    NPI Number           |    1215103130
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID HUNG VU D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/30/2008
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    Last Update Date     |    04/30/2008
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Provider Practice Location Address
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    Address Line         |    122 E SOUTHMORE AVE 
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    City                 |    PASADENA
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    State                |    TX
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    Zip                  |    77502-1018
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    Country              |    US
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    Telephone            |    713-472-4540
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    Fax                  |    713-472-1087
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Provider Business Mailing Address
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    Address Line         |    12790 VETERANS MEMORIAL DR 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77014-2048
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    Country              |    US
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    Telephone            |    281-580-7620
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    Fax                  |    281-580-0466
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    19533
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    License Number State |    TX
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