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General NPI Number Information
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NPI Number | 1093386724
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Entity Type | Organization
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Legal Business Name | HUYNH MEDICAL, PLLC
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Dates
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Enumeration Date | 07/03/2021
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 13915 34TH AVE BSMT OFFICE
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City | FLUSHING
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State | NY
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Zip | 11354-3275
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Country | US
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Telephone | 718-570-7567
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Fax |
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Provider Business Mailing Address
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Address Line | 1 MAGNOLIA DR
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City | GREAT NECK
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State | NY
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Zip | 11021-1920
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Country | US
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Telephone | 718-570-7567
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD HUYNH
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Credential | DO
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Telephone | 718-540-5288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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