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General NPI Number Information
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NPI Number | 1407083827
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Entity Type | Individual
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Provider Name | KIM HOANG DDS, MSD
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Gender | Female
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Dates
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Enumeration Date | 06/11/2009
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Last Update Date | 04/09/2015
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Provider Practice Location Address
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Address Line | 9001 BRODIE LN SUITE C-2
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City | AUSTIN
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State | TX
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Zip | 78748-5002
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Country | US
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Telephone | 512-280-2266
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Fax | 512-672-7051
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Provider Business Mailing Address
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Address Line | 9001 BRODIE LN SUITE C-2
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City | AUSTIN
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State | TX
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Zip | 78748-5002
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Country | US
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Telephone | 512-280-2266
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Fax | 512-672-7051
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 24245
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License Number State | TX
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