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General NPI Number Information
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NPI Number | 1255682191
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Entity Type | Organization
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Legal Business Name | NHAN-AI, LLC
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Dates
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Enumeration Date | 10/01/2012
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 2005 VAIL DR
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City | GARLAND
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State | TX
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Zip | 75044-6790
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Country | US
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Telephone | 469-583-6919
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Fax |
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Provider Business Mailing Address
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Address Line | 6800 ALMA DR STE 101
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City | PLANO
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State | TX
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Zip | 75023-2006
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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 | PRESIDENT
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Name | DR. THUONG DOMINIC HOANG
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Credential |
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Telephone | 469-583-6919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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