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NPI 1851542906

NPI 1851542906 : AN TRONG HO D.D.S : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1851542906
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    Entity Type          |    Individual 
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    Provider Name        |    AN TRONG HO D.D.S
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/07/2008
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    Last Update Date     |    01/15/2014
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Provider Practice Location Address
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    Address Line         |    14179 NORTHWEST FWY 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77040-5013
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    Country              |    US
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    Telephone            |    713-895-9272
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    Fax                  |    713-895-9276
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Provider Business Mailing Address
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    Address Line         |    14179 NORTHWEST FWY 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77040-5013
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    Country              |    US
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    Telephone            |    713-895-9272
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    Fax                  |    713-895-9276
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    22561
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    License Number State |    TX
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