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NPI Code Detail

MEDICARE: MS. TRANG T DUONG PA-C

MEDICARE: MS. TRANG T DUONG PA-C
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
1363A00000XPhysician AssistantPA030395DC

General Provider Information

NPI Number : 1497817845
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRANG T DUONG PA-C
Provider Business Mailing Address
First Line : 1220 12TH ST SE
Second Line : SUITE NUMBER 120
City : WASHINGTON
State : DC
Zip : 20003-3722
Country : US
Telephone Number : 202-715-7900
Fax Number :
Provider Business Practice Location Address
First Line : 4130 HUNT PL NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-3565
Country : US
Telephone Number : 202-388-8160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 06/19/2012

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Directions to “ MS. TRANG T DUONG PA-C” Practice Location

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