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General NPI Number Information
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NPI Number | 1194792721
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Entity Type | Individual
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Provider Name | MINH P. CAO DPM
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Gender | Male
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 571 BERLIN CROSS KEYS RD SUITE 100
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-9550
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Country | US
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Telephone | 856-875-9553
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Fax | 856-875-9443
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Provider Business Mailing Address
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Address Line | 571 BERLIN CROSS KEYS RD SUITE 100
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-9550
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Country | US
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Telephone | 856-875-9553
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Fax | 856-875-9443
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 25MD00276000
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License Number State | NJ
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