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General NPI Number Information
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NPI Number | 1407134711
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Entity Type | Individual
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Provider Name | XUAN QUYEN LE TRUONG D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 08/03/2011
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 5547 HIGHWAY 6 N
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City | HOUSTON
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State | TX
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Zip | 77084-1827
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Country | US
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Telephone | 832-427-1797
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Fax | 832-427-1455
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Provider Business Mailing Address
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Address Line | 5547 HIGHWAY 6 NORTH
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City | HOUSTON
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State | TX
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Zip | 77084
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Country | US
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Telephone | 832-427-1797
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Fax | 832-427-1455
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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 | 27259
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License Number State | TX
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