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General NPI Number Information
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NPI Number | 1578733788
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Entity Type | Organization
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Legal Business Name | DANE HOANG, DDS, MS., PA
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 9788 WALNUT ST SUITE 100
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City | DALLAS
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State | TX
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Zip | 75243-4841
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Country | US
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Telephone | 972-234-4500
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Fax | 972-234-4562
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Provider Business Mailing Address
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Address Line | 9788 WALNUT ST SUITE 100
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City | DALLAS
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State | TX
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Zip | 75243-4841
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Country | US
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Telephone | 972-234-4500
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Fax | 972-234-4562
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | DR. DANE THUIY LE HOANG
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Credential | D.D.S, M.S., PA
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Telephone | 972-234-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 18843
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License Number State | TX
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