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General NPI Number Information
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NPI Number | 1194241562
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Entity Type | Organization
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Legal Business Name | TRACY T. VO
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 08/17/2017
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Provider Practice Location Address
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Address Line | 13511 40TH RD STE 4A
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City | FLUSHING
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State | NY
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Zip | 11354-5329
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Country | US
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Telephone | 718-961-1800
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Fax | 718-961-1802
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Provider Business Mailing Address
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Address Line | 135-11 40TH ROAD SUITE 4A
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City | FLUSHING
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State | NY
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Zip | 11354
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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 | MD
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Name | DR. TRACY T. VO
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Credential | MD
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Telephone | 718-961-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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