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General NPI Number Information
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NPI Number | 1417903352
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Entity Type | Individual
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Provider Name | NHUNG S PHAM MD
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Gender | Female
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 4885 OLENTANGY RIVER RD STE 1-20
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City | COLUMBUS
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State | OH
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Zip | 43214-1953
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Country | US
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Telephone | 614-268-6555
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Fax | 614-457-5723
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Provider Business Mailing Address
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Address Line | 4885 OLENTANGY RIVER RD STE 1-20
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City | COLUMBUS
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State | OH
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Zip | 43214-1953
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Country | US
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Telephone | 614-268-6555
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Fax | 614-457-5723
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35.071379
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.071379
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License Number State | OH
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