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General NPI Number Information
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NPI Number | 1073740387
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Entity Type | Individual
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Provider Name | BRYAN H HOANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2009
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 113 W CYPRESS ST
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City | WARREN
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State | AR
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Zip | 71671-2730
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Country | US
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Telephone | 870-226-2844
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Fax | 870-226-5200
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Provider Business Mailing Address
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Address Line | 412 REBECCA CIR
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City | MONTICELLO
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State | AR
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Zip | 71655-3946
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Country | US
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Telephone | 870-723-4897
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Fax | 870-367-2102
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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 | E7410
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License Number State | AR
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