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General NPI Number Information
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NPI Number | 1629599774
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Entity Type | Individual
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Provider Name | TRANCHAU LE HOANG DMD
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Gender | Female
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 12/16/2021
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Provider Practice Location Address
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Address Line | 1550 1ST ST S
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City | WINTER HAVEN
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State | FL
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Zip | 33880-4306
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Country | US
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Telephone | 863-293-0636
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 1ST ST S
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City | WINTER HAVEN
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State | FL
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Zip | 33880-4306
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Country | US
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Telephone | 863-293-0636
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS041675
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN24037
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License Number State | FL
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