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NPI 1831906015

NPI 1831906015 : HVL DENTISTRY PLLC : LIVE OAK, TX

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General NPI Number Information
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    NPI Number           |    1831906015
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    Entity Type          |    Organization 
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    Legal Business Name  |    HVL DENTISTRY PLLC 
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Dates
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    Enumeration Date     |    12/12/2024
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    Last Update Date     |    12/12/2024
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Provider Practice Location Address
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    Address Line         |    8142 SHIN OAK DR STE 100 
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    City                 |    LIVE OAK
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    State                |    TX
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    Zip                  |    78233-2775
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    Country              |    US
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    Telephone            |    210-764-3008
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8142 SHIN OAK DR STE 100 
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    City                 |    LIVE OAK
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    State                |    TX
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    Zip                  |    78233-2775
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    Country              |    US
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    Telephone            |    702-501-6882
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DENTIST/ OWNER
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    Name                 |    DR. HA VY  LE 
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    Credential           |    DMD
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    Telephone            |    702-501-6882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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