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General NPI Number Information
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NPI Number | 1174926596
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Entity Type | Organization
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Legal Business Name | INSTITUTE OF ASIAN AMERICAN ADULT DEVELOPMENT
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 3306 W WALNUT ST STE 502
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City | GARLAND
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State | TX
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Zip | 75042-7141
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Country | US
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Telephone | 281-575-8921
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Fax |
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Provider Business Mailing Address
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Address Line | 3306 W WALNUT ST STE 502
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City | GARLAND
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State | TX
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Zip | 75042-7141
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Country | US
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Telephone | 281-575-8921
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | FRANK HUY PHAM
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Credential |
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Telephone | 832-240-8034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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