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General NPI Number Information
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NPI Number | 1427080522
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Entity Type | Individual
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Provider Name | PING-AN TJOA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 111 FERGUSON LN
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City | NEWARK
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State | DE
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Zip | 19702-4317
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Country | US
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Telephone | 302-834-1681
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Fax | 302-834-1681
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Provider Business Mailing Address
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Address Line | 111 FERGUSON LN
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City | NEWARK
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State | DE
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Zip | 19702-4317
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Country | US
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Telephone | 302-834-1681
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD-038577-Y
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License Number State | PA
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