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General NPI Number Information
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NPI Number | 1316282825
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Entity Type | Organization
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Legal Business Name | ANH D. HOANG, D.D.S., INC.
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Dates
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Enumeration Date | 12/10/2012
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 11031 ACACIA PKWY
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City | GARDEN GROVE
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State | CA
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Zip | 92840-5126
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Country | US
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Telephone | 714-982-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 11031 ACACIA PKWY
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City | GARDEN GROVE
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State | CA
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Zip | 92840-5126
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Country | US
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Telephone | 714-982-2273
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | ANH D HOANG
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Credential | DDS
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Telephone | 714-982-2273
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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 | 55573
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License Number State | CA
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