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General NPI Number Information
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NPI Number | 1316551393
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Entity Type | Individual
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Provider Name | THAI CUONG HO
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Gender | Male
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Dates
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Enumeration Date | 09/07/2020
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Last Update Date | 09/07/2020
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Provider Practice Location Address
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Address Line | 15836 CHAMPION FOREST DR
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City | SPRING
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State | TX
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Zip | 77379-7141
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Country | US
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Telephone | 281-376-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 8607 GRANITE PEACH LN
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City | RICHMOND
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State | TX
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Zip | 77407-8614
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Country | US
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Telephone | 713-364-9761
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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 | 36638
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License Number State | TX
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