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General NPI Number Information
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NPI Number | 1194230367
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Entity Type | Organization
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Legal Business Name | R & T MEDICAL PC
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 12/08/2017
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Provider Practice Location Address
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Address Line | 989 STORY RD UNIT 8069
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City | SAN JOSE
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State | CA
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Zip | 95122-4620
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Country | US
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Telephone | 408-394-7095
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Fax |
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Provider Business Mailing Address
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Address Line | 989 STORY RD UNIT 8069
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City | SAN JOSE
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State | CA
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Zip | 95122-4620
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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 | ADMINISTRATOR
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Name | KHANH CAO-HUU
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Credential |
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Telephone | 408-394-7095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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