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General NPI Number Information
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NPI Number | 1235645441
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Entity Type | Individual
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Provider Name | TIMOTHY VIET DO
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Gender | Male
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Dates
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Enumeration Date | 12/26/2017
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Last Update Date | 12/26/2017
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Provider Practice Location Address
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Address Line | 12454 BEECNUT STREET SUITE 8
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City | HOUSTON
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State | TX
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Zip | 77072
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Country | US
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Telephone | 281-741-3902
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Fax | 832-288-4575
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Provider Business Mailing Address
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Address Line | 8903 CORBRIDGE DR
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City | RICHMOND
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State | TX
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Zip | 77469-5516
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Country | US
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Telephone | 832-278-0353
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 42035
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License Number State | TX
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