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General NPI Number Information
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NPI Number | 1235233503
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Entity Type | Individual
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Provider Name | ANDY DUC DAO D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | LANDSTUHL REGIONAL MEDICAL CENTER UNIT 33100
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City | APO
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State | NY
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Zip | 09180
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Country | US
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Telephone | 213-581-6555
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Fax |
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Provider Business Mailing Address
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Address Line | 8722 FINLANDIA GAP
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4998
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Country | US
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Telephone | 213-581-6555
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E4671
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License Number State | CA
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