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General NPI Number Information
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NPI Number | 1386881951
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Entity Type | Individual
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Provider Name | PETER DANH LY M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2009
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2565 BAY AREA BLVD
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City | HOUSTON
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State | TX
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Zip | 77058-1521
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Country | US
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Telephone | 832-240-4272
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Fax | 832-240-4290
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Provider Business Mailing Address
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Address Line | PO BOX 273144
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City | HOUSTON
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State | TX
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Zip | 77277-3144
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Country | US
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Telephone | 832-240-4272
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Fax | 832-240-4290
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | N1747
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | N1747
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License Number State | TX
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