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General NPI Number Information
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NPI Number | 1679774186
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Entity Type | Organization
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Legal Business Name | TRUESMILEDENTAL,PA
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 08/22/2007
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Provider Practice Location Address
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Address Line | 3901 BROADWAY ST
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City | GALVESTON
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State | TX
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Zip | 77550-3821
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Country | US
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Telephone | 409-765-7500
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Fax | 409-765-7501
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Provider Business Mailing Address
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Address Line | 1820 MATTHEWS ST
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City | HOUSTON
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State | TX
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Zip | 77019-5515
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Country | US
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Telephone |
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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. NGUYET THI HOANG
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Credential | DDS
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Telephone | 409-765-7500
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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 | 18930
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License Number State | TX
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