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General NPI Number Information
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NPI Number | 1407600216
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Entity Type | Organization
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Legal Business Name | HOANG DMD & NGO DDS AND ASSOCIATES PLLC
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Dates
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Enumeration Date | 04/16/2024
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 102 S SYCAMORE ST
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City | FREMONT
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State | NC
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Zip | 27830-8709
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Country | US
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Telephone | 919-242-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 5005 GLENMORGAN LN
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City | RALEIGH
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State | NC
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Zip | 27616-7418
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Country | US
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Telephone | 336-541-0208
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BAO HOANG
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Credential | DMD
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Telephone | 336-541-0208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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