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General NPI Number Information
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NPI Number | 1295686194
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Entity Type | Individual
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Provider Name | MARY MY-HANH VU
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Gender | Female
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 1400 N MAIN ST
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City | SANTA ANA
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State | CA
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Zip | 92701-2304
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Country | US
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Telephone | 888-499-9303
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Fax |
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Provider Business Mailing Address
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Address Line | 1605 E 2ND ST APT 204
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City | LONG BEACH
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State | CA
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Zip | 90802-5994
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 112052
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License Number State | CA
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