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General NPI Number Information
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NPI Number | 1316388184
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Entity Type | Organization
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Legal Business Name | LE VU DENTAL CORPORATION
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Dates
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Enumeration Date | 07/09/2013
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Last Update Date | 07/09/2013
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Provider Practice Location Address
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Address Line | 7501 HOSPITAL DR #202
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City | SACRAMENTO
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State | CA
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Zip | 95823-5405
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Country | US
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Telephone | 916-682-9031
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Fax | 916-209-8744
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Provider Business Mailing Address
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Address Line | 7501 HOSPITAL DR #202
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City | SACRAMENTO
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State | CA
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Zip | 95823-5405
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Country | US
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Telephone | 916-682-9031
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Fax | 916-209-8744
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THUY NGA L VU
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Credential | DDS
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Telephone | 916-670-0124
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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 | 38766
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License Number State | CA
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