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General NPI Number Information
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NPI Number | 1407971823
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Entity Type | Organization
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Legal Business Name | BAN T. VU, DMD, PC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6081 ARLINGTON BLVD
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2707
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Country | US
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Telephone | 703-538-2282
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Fax |
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Provider Business Mailing Address
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Address Line | 6081 ARLINGTON BLVD
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2707
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Country | US
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Telephone | 703-538-2282
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BAN T VU
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Credential | D.M.D.
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Telephone | 703-538-2282
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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 | 5421
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License Number State | VA
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