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General NPI Number Information
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NPI Number | 1154523306
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Entity Type | Organization
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Legal Business Name | THUAN HUYNH MD PA
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 03/14/2008
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Provider Practice Location Address
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Address Line | 1218 N JOSEY LN SUITE 108
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City | CARROLLTON
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State | TX
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Zip | 75006-6147
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Country | US
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Telephone | 972-418-1778
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 117738
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City | CARROLLTON
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State | TX
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Zip | 75011-7738
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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 | PRESIDENT
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Name | DR. THUAN P HUYNH
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Credential | MD
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Telephone | 972-418-1778
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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 | K3250
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License Number State | TX
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