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General NPI Number Information
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NPI Number | 1346538162
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Entity Type | Organization
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Legal Business Name | FRIENDS & FAMILY DENTISTRY PLLC
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Dates
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Enumeration Date | 07/13/2011
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Last Update Date | 10/19/2011
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Provider Practice Location Address
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Address Line | 44121 HARRY BYRD HWY SUITE 155
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City | ASHBURN
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State | VA
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Zip | 20147-5667
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Country | US
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Telephone | 804-400-3907
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Fax |
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Provider Business Mailing Address
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Address Line | 44121 HARRY BYRD HWY SUITE 155
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City | ASHBURN
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State | VA
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Zip | 20147-5667
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Country | US
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Telephone | 804-400-3907
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TUAN ANH VU
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Credential | DDS
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Telephone | 804-400-3907
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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 | 0401411046
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License Number State | VA
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