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General NPI Number Information
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NPI Number | 1659739456
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Entity Type | Organization
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Legal Business Name | DAVID DIEU DMD, MD, PA
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Dates
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Enumeration Date | 02/08/2016
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 1202 FOULK ROAD
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City | WILMINGTON
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State | DE
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Zip | 19803
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Country | US
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Telephone | 302-273-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 1202 FOULK ROAD
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City | WILMINGTON
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State | DE
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Zip | 19803
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Country | US
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Telephone | 302-273-8300
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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. DAVID HAN DIEU
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Credential | DMD, MD
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Telephone | 302-273-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | G1-0001324
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License Number State | DE
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