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General NPI Number Information
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NPI Number | 1275875551
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Entity Type | Individual
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Provider Name | DONG VIEN DANG M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/25/2013
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 1180 MCKENDREE CHURCH RD STE 202
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-5207
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Country | US
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Telephone | 470-633-1970
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Fax | 404-738-1614
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Provider Business Mailing Address
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Address Line | 1180 MCKENDREE CHURCH RD STE 202
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-5207
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Country | US
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Telephone | 470-292-3122
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Fax | 404-738-1614
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 89626
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 89626
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 89626
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 89626
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License Number State | GA
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