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General NPI Number Information
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NPI Number | 1770783904
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Entity Type | Individual
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Provider Name | TRUC THANH LE VO DDS
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Gender | Female
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 950 W. AVON ROAD SUITE #1
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307
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Country | US
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Telephone | 248-656-2300
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Fax | 866-562-0572
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Provider Business Mailing Address
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Address Line | 950 W. AVON ROAD SUITE #1
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307
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Country | US
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Telephone | 248-656-2300
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 50010
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License Number State | CA
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