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General NPI Number Information
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NPI Number | 1700602851
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Entity Type | Organization
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Legal Business Name | BOIHOANG T VU DDS LLC
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 12A WESTBANK EXPY STE 200
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City | GRETNA
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State | LA
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Zip | 70053-3659
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Country | US
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Telephone | 504-362-1776
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Fax | 504-362-3400
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Provider Business Mailing Address
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Address Line | 12A WESTBANK EXPY STE 200
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City | GRETNA
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State | LA
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Zip | 70053-3659
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Country | US
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Telephone | 504-362-1776
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Fax | 504-362-3400
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JENNY NGUYEN
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Credential |
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Telephone | 504-919-3074
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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 |
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License Number State |
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