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General NPI Number Information
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NPI Number | 1528206653
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Entity Type | Organization
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Legal Business Name | CHU TRUONG DDS & ASSOCIATES , PLLC
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Dates
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Enumeration Date | 01/28/2009
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Last Update Date | 01/28/2009
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Provider Practice Location Address
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Address Line | 10904 SCARSDALE BLVD SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77089-6068
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Country | US
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Telephone | 281-464-9440
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Fax | 281-464-9441
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Provider Business Mailing Address
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Address Line | 10904 SCARSDALE BLVD SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77089-6068
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Country | US
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Telephone | 281-464-9440
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Fax | 281-464-9441
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. DARLENE QUYNH CHU
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Credential |
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Telephone | 281-464-9440
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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 | 19204
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License Number State | TX
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