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General NPI Number Information
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NPI Number | 1457486821
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Entity Type | Individual
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Provider Name | MS. NGOC BINH DANG
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Gender | Female
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4632 HIGHWAY 58
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City | CHATTANOOGA
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State | TN
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Zip | 37416-3013
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Country | US
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Telephone | 423-894-3222
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Fax | 423-499-8435
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Provider Business Mailing Address
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Address Line | 4924 MEADOW TRACE LN
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City | HIXSON
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State | TN
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Zip | 37343-4063
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Country | US
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Telephone | 423-894-3222
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Fax | 423-499-8435
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12260
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License Number State | TN
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