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General NPI Number Information
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NPI Number | 1952085797
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Entity Type | Organization
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Legal Business Name | VUONG LLC
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 905 STATE HIGHWAY 78 STE B
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City | LAVON
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State | TX
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Zip | 75166-1288
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Country | US
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Telephone | 972-809-8850
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Fax |
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Provider Business Mailing Address
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Address Line | 622 LAUREL LN
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City | WYLIE
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State | TX
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Zip | 75098-1816
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Country | US
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Telephone | 972-809-8850
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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. PHU VUONG
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Credential | DMD
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Telephone | 972-809-8850
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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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