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1154336535

NPI Code Detail

MEDICARE: HONGHUE T. DUONG PA

MEDICARE: HONGHUE T. DUONG PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA10001081	WA
2	363AM0700X	Medical Physician Assistant	PA10001081	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0199428	OTHER	WA	L&I PIN
3	DU6331	OTHER	WA	REGENCE BLUE SHIELD
4	U53388	OTHER	WA	REGENCE BLUE SHIELD PIN

General Provider Information

NPI Number	:	1154336535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HONGHUE T. DUONG PA

Provider Business Mailing Address
First Line	:	720 8TH AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-3032
Country	:	US
Telephone Number	:	206-788-3700
Fax Number	:	206-788-3706

Provider Business Practice Location Address
First Line	:	720 8TH AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-3032
Country	:	US
Telephone Number	:	206-788-3700
Fax Number	:	206-788-3706

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	12/22/2010

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Directions to “ HONGHUE T. DUONG PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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