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General NPI Number Information
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NPI Number | 1740277193
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Entity Type | Individual
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Provider Name | FRANK XUONG MAC D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 11/19/2015
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Provider Practice Location Address
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Address Line | NNMC 8901 WISCONSIN AVE.
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-319-4453
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Fax |
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Provider Business Mailing Address
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Address Line | 9212 VANFLEET CT
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City | LAUREL
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State | MD
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Zip | 20708-2871
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Country | US
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Telephone | 240-383-7623
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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 | 45585
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License Number State | CA
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