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General NPI Number Information
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NPI Number | 1154305936
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Entity Type | Individual
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Provider Name | HUY TIEU MD
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Gender | Female
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Dates
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Enumeration Date | 12/05/2005
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 252 S 4TH ST
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City | LEBANON
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State | PA
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Zip | 17042-6111
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Country | US
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Telephone | 717-228-1620
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 947
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-0947
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Country | US
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Telephone | 717-263-5562
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Fax | 717-263-1566
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD425842
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License Number State | PA
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