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General NPI Number Information
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NPI Number | 1013960111
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Entity Type | Individual
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Provider Name | THUAN PHUONG HUYNH M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 04/30/2009
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Provider Practice Location Address
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Address Line | 3740 N JOSEY LN STE 212
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City | CARROLLTON
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State | TX
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Zip | 75007-2472
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Country | US
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Telephone | 972-418-1778
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Fax | 972-418-5773
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Provider Business Mailing Address
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Address Line | PO BOX 117738
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City | CARROLLTON
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State | TX
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Zip | 75011-7738
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Country | US
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Telephone | 972-418-1778
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Fax | 972-418-5773
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K3250
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License Number State | TX
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