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General NPI Number Information
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NPI Number | 1699072009
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Entity Type | Organization
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Legal Business Name | ANTHONY N. HOANG, DMD & ASSOCIATES, PLLC
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Dates
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Enumeration Date | 02/21/2011
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Last Update Date | 03/10/2011
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Provider Practice Location Address
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Address Line | 8996 BURKE LAKE RD SUITE 200
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City | BURKE
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State | VA
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Zip | 22015-1607
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Country | US
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Telephone | 703-503-8996
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Fax | 703-503-1010
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Provider Business Mailing Address
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Address Line | 8996 BURKE LAKE RD SUITE 200
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City | BURKE
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State | VA
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Zip | 22015-1607
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Country | US
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Telephone | 703-503-8996
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Fax | 703-503-1010
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Authorized Official
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Title or Position | MEMBER/DENTIST
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Name | DR. ANTHONY N. HOANG
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Credential | DMD
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Telephone | 703-503-8996
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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 | 0401410974
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License Number State | VA
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