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General NPI Number Information
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NPI Number | 1730465899
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Entity Type | Organization
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Legal Business Name | VAN H VUONG DDS & CINDY H CHOU DDS 2 PLLC
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Dates
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Enumeration Date | 11/02/2011
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 26228 PACIFIC HWY S
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City | KENT
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State | WA
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Zip | 98032-6934
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Country | US
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Telephone | 206-291-6515
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Fax | 206-291-6515
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Provider Business Mailing Address
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Address Line | 26228 PACIFIC HWY S
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City | KENT
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State | WA
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Zip | 98032-6934
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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 | MEMBER
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Name | VAN H VUONG
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Credential | DDS
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Telephone | 206-291-6515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 603142939
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License Number State | WA
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