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General NPI Number Information
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NPI Number | 1487955597
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Entity Type | Organization
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Legal Business Name | TRUCARE DENTAL, P.A.
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 3031 S 1ST ST SUITE 500
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City | GARLAND
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State | TX
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Zip | 75041-3459
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Country | US
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Telephone | 972-864-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 3031 S 1ST ST SUITE 500
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City | GARLAND
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State | TX
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Zip | 75041-3459
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Country | US
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Telephone | 972-864-0000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THANH-TRUC NGOC LE
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Credential | D.D.S
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Telephone | 972-864-0000
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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 | 24658
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License Number State | TX
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