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General NPI Number Information
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NPI Number | 1467511097
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Entity Type | Organization
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Legal Business Name | THI H DO DDS PC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 09/27/2016
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Provider Practice Location Address
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Address Line | 6051A ARLINGTON BLVD
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2721
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Country | US
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Telephone | 703-237-2299
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Fax | 703-237-1831
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Provider Business Mailing Address
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Address Line | 6051A ARLINGTON BLVD
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2721
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Country | US
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Telephone | 703-237-2299
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Fax | 703-237-1831
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THI H DO
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Credential | DDS
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Telephone | 703-237-2299
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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 | 0401008292
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License Number State | VA
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