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General NPI Number Information
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NPI Number | 1932757549
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Entity Type | Organization
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Legal Business Name | HOA V. TRUONG & BICHHUYEN TONG, DDS, INC
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Dates
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Enumeration Date | 08/27/2019
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Last Update Date | 08/27/2019
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Provider Practice Location Address
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Address Line | 10468 BEACH BLVD
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City | STANTON
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State | CA
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Zip | 90680-1609
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Country | US
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Telephone | 714-995-5995
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Fax |
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Provider Business Mailing Address
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Address Line | 10468 BEACH BLVD
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City | STANTON
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State | CA
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Zip | 90680-1609
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Country | US
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Telephone | 714-995-5995
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BICHHUYEN TONG
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Credential | DDS
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Telephone | 310-531-4775
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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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