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General NPI Number Information
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NPI Number | 1699114322
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Entity Type | Individual
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Provider Name | QUOCNAM TRINH HOANG D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2013
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Last Update Date | 06/09/2021
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Provider Practice Location Address
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Address Line | 1400 BLALOCK RD STE D-1
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City | HOUSTON
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State | TX
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Zip | 77055-4483
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Country | US
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Telephone | 713-360-7963
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Fax |
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Provider Business Mailing Address
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Address Line | 6803 TURTLEWOOD DR
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City | HOUSTON
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State | TX
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Zip | 77072-2751
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Country | US
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Telephone | 832-279-3791
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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 | 29110
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 29110
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License Number State | TX
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