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General NPI Number Information
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NPI Number | 1376903443
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Entity Type | Individual
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Provider Name | TOAN QUANG DUONG JR. D.D.S
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Gender | Male
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Dates
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Enumeration Date | 03/02/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 112 HOUSTON ST STE A
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City | LEXINGTON
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State | VA
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Zip | 24450-2451
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Country | US
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Telephone | 540-463-2134
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Fax |
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Provider Business Mailing Address
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Address Line | 6407 SEVEN OAKS DR
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City | FALLS CHURCH
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State | VA
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Zip | 22042-3151
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Country | US
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Telephone | 703-901-0570
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10592
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401415500
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License Number State | VA
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