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General NPI Number Information
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NPI Number | 1831452804
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Entity Type | Individual
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Provider Name | MINHTRIET VU DANG DDS
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Gender | Male
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Dates
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Enumeration Date | 06/24/2012
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Last Update Date | 06/24/2012
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Provider Practice Location Address
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Address Line | 16506 FM 529 RD SUITE 117
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City | HOUSTON
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State | TX
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Zip | 77095-1462
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Country | US
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Telephone | 281-656-2500
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Fax | 281-656-2518
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Provider Business Mailing Address
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Address Line | 6642 BRIAR TERRACE DR
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City | HOUSTON
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State | TX
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Zip | 77072-2015
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Country | US
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Telephone | 832-348-3180
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 27943
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License Number State | TX
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