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General NPI Number Information
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NPI Number | 1386298081
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Entity Type | Organization
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Legal Business Name | DANIEL TANH, LLC
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Dates
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Enumeration Date | 07/31/2019
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Last Update Date | 07/31/2019
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Provider Practice Location Address
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Address Line | ALMA, C/O DANIEL TANH, 515 MADISON AVENUE 21ST FLOOR
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City | NEW YORK
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State | NY
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Zip | 10022
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Country | US
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Telephone | 267-826-4236
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Fax |
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Provider Business Mailing Address
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Address Line | 1349 63RD ST
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City | BROOKLYN
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State | NY
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Zip | 11219-5320
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Country | US
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Telephone | 267-879-5874
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL TANH
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Credential | LCSW
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Telephone | 267-879-5874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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