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General NPI Number Information
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NPI Number | 1619528999
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Entity Type | Organization
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Legal Business Name | RICHARD H DUONG, D.D.S.
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Dates
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Enumeration Date | 09/27/2019
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 1289 S PARK VICTORIA DR STE 200
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City | MILPITAS
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State | CA
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Zip | 95035-6974
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Country | US
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Telephone | 408-834-3784
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Fax |
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Provider Business Mailing Address
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Address Line | 8731 RATHBURN AVE
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City | WESTMINSTER
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State | CA
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Zip | 92683-6816
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Country | US
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Telephone | 310-634-7517
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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. RICHARD DUONG
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Credential | DDS
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Telephone | 310-634-7517
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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 |
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License Number State |
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