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General NPI Number Information
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NPI Number | 1336392695
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Entity Type | Individual
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Provider Name | HAU T HUYNH M.D
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Gender | Male
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 535 APPLEYARD DR
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City | TALLAHASSEE
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State | FL
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Zip | 32304-3801
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Country | US
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Telephone | 850-921-3666
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Fax | 850-410-1565
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Provider Business Mailing Address
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Address Line | 4011 KILMARTIN DR
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City | TALLAHASSEE
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State | FL
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Zip | 32309-2861
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Country | US
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Telephone | 850-608-5563
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME 45815
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License Number State | FL
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