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General NPI Number Information
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NPI Number | 1245254879
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Entity Type | Organization
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Legal Business Name | TRANG T. NGO, MD, INC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2299 MOWRY AVE SUITE 2A
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City | FREMONT
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State | CA
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Zip | 94538-1621
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Country | US
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Telephone | 510-796-3498
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Fax | 510-794-4109
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Provider Business Mailing Address
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Address Line | 2299 MOWRY AVE SUITE 2A
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City | FREMONT
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State | CA
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Zip | 94538-1621
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Country | US
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Telephone | 510-796-3498
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Fax | 510-794-4109
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TRANG THANH NGO
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Credential | MD
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Telephone | 510-796-3498
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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 | A91865
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License Number State | CA
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