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General NPI Number Information
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NPI Number | 1700275211
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Entity Type | Individual
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Provider Name | STEPHANIE HAI VU DDS
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Gender | Female
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Dates
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Enumeration Date | 01/21/2015
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 5540 JOHNSTON STREET SUITE 100
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City | LAFAYETTE
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State | LA
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Zip | 70503
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Country | US
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Telephone | 337-247-7698
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Fax |
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Provider Business Mailing Address
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Address Line | 5540 JOHNSTON STREET SUITE 100
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City | LAFAYETTE
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State | LA
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Zip | 70503
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Country | US
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Telephone | 337-247-7698
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Fax | 281-580-0466
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30588
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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 | 6615
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License Number State | LA
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