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General NPI Number Information
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NPI Number | 1427118157
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Entity Type | Individual
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Provider Name | TRACY T VO M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 13511 40TH RD SUITE 4A
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City | FLUSHING
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State | NY
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Zip | 11354-5323
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Country | US
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Telephone | 718-961-1800
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Fax | 718-961-1802
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Provider Business Mailing Address
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Address Line | P.O. BOX 426
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City | OLD WESTBURY
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State | NY
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Zip | 11568-0426
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Country | US
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Telephone | 516-567-6838
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 212468
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License Number State | NY
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