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General NPI Number Information
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NPI Number | 1801322722
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Entity Type | Organization
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Legal Business Name | HAU LE, DMD PLLC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 16708 JEFFERSON DAVIS HWY SUITE 115
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City | DUMFRIES
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State | VA
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Zip | 22026-2769
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Country | US
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Telephone | 703-221-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 16708 JEFFERSON DAVIS HWY SUITE 115
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City | DUMFRIES
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State | VA
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Zip | 22026-2769
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Country | US
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Telephone | 703-221-4040
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HAU LE
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Credential | DMD
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Telephone | 703-221-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 0401412259
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License Number State | VA
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