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General NPI Number Information
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NPI Number | 1053303362
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Entity Type | Individual
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Provider Name | THUCANH T MULTERER M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1431 NURSERY ST STE 200
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City | FOGELSVILLE
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State | PA
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Zip | 18051-1612
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Country | US
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Telephone | 484-273-4390
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 MACK BLVD FL 4
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City | ALLENTOWN
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State | PA
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Zip | 18103-5622
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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 | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 036.113707
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 95550
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | MD423980
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 22913
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License Number State | ND
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Taxonomy #5
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 52490-20
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License Number State | WI
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