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General NPI Number Information
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NPI Number | 1134265937
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Entity Type | Organization
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Legal Business Name | KIET A DOAN DO PC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3500 CALKINS RD SUITE A
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City | FLINT
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State | MI
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Zip | 48532-3506
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Country | US
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Telephone | 810-230-9600
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Fax | 810-230-9607
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Provider Business Mailing Address
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Address Line | 3500 CALKINS RD SUITE A
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City | FLINT
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State | MI
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Zip | 48532-3506
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Country | US
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Telephone | 810-230-9600
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Fax | 810-230-9607
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Authorized Official
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Title or Position | DOCTOR
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Name | KIET A DOAN
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Credential | DO
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Telephone | 810-230-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 5101013629
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License Number State | MI
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