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General NPI Number Information
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NPI Number | 1942617022
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Entity Type | Individual
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Provider Name | LILY HOANG DMD
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Gender | Female
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 06/25/2018
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Provider Practice Location Address
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Address Line | 7030 N SHILOH RD # 200
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City | GARLAND
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State | TX
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Zip | 75044
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Country | US
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Telephone | 469-925-0861
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Fax | 469-925-0865
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Provider Business Mailing Address
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Address Line | 12398 FM 423 STE 1900
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City | FRISCO
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State | TX
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Zip | 75033-0105
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6513
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 31938
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License Number State | TX
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