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General NPI Number Information
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NPI Number | 1184303620
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Entity Type | Individual
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Provider Name | BRANDON TAI HOANG
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Gender | Male
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 6767 LAKE WOODLANDS DR UNIT F
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City | SPRING
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State | TX
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Zip | 77382-2566
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Country | US
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Telephone | 281-364-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 1560 LEAGUE LINE RD APT 7102
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City | CONROE
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State | TX
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Zip | 77304-3481
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Country | US
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Telephone | 281-323-9827
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Fax |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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