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General NPI Number Information
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NPI Number | 1225222649
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Entity Type | Organization
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Legal Business Name | SPENCER DENTAL
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 1611 SPENCER HWY STE H
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City | SOUTH HOUSTON
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State | TX
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Zip | 77587-3772
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Country | US
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Telephone | 713-910-2800
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Fax | 713-310-2801
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Provider Business Mailing Address
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Address Line | 1611 SPENCER HWY STE H
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City | SOUTH HOUSTON
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State | TX
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Zip | 77587-3772
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Country | US
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Telephone | 713-910-2800
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Fax | 713-310-2801
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Authorized Official
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Title or Position | DENTIST
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Name | DR. AMY A HOANG
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Credential | DDS
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Telephone | 713-910-2800
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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 |
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License Number State |
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