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General NPI Number Information
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NPI Number | 1649599788
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Entity Type | Organization
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Legal Business Name | ROSE VUONG DDS PC
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Dates
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Enumeration Date | 05/28/2010
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Last Update Date | 05/28/2010
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Provider Practice Location Address
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Address Line | 26440 FM 1093 RD SUITE 340
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City | RICHMOND
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State | TX
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Zip | 77406-7201
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Country | US
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Telephone | 281-394-7581
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Fax | 281-394-7582
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Provider Business Mailing Address
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Address Line | 26440 FM 1093 RD SUITE 340
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City | RICHMOND
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State | TX
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Zip | 77406-7201
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Country | US
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Telephone | 281-394-7581
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Fax | 281-394-7582
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ROSE VUONG
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Credential | DDS
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Telephone | 281-394-7581
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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 | 23351
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License Number State | TX
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