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General NPI Number Information
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NPI Number | 1407030737
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Entity Type | Individual
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Provider Name | HOAI DUC PHAM M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/21/2007
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1551 E TANGERINE RD
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City | ORO VALLEY
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State | AZ
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Zip | 85755-6213
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Country | US
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Telephone | 520-901-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 8681 EAGLE POINT BLVD
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City | LAKE ELMO
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State | MN
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Zip | 55042-8628
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Country | US
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Telephone | 651-209-8071
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Fax | 651-209-8077
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 82615
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036166368
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 53966
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 76694
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License Number State | AZ
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