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General NPI Number Information
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NPI Number | 1821523317
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Entity Type | Individual
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Provider Name | HAO ANH DANG DMD
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Gender | Male
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Dates
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Enumeration Date | 04/22/2017
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 8010 HIGHWAY 78 SUITE #210
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City | SACHSE
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State | TX
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Zip | 75048
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Country | US
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Telephone | 714-260-4802
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Fax |
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Provider Business Mailing Address
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Address Line | 8260 MEADOW RD APT 3409
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City | DALLAS
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State | TX
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Zip | 75231-3737
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Country | US
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Telephone | 714-260-4802
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Fax | 714-260-4802
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 33772
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License Number State | TX
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