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General NPI Number Information
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NPI Number | 1457898702
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Entity Type | Organization
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Legal Business Name | MICHAEL NGO D.O. AMERICAN BOARD OF INTERNAL MEDICINE CERTIFIED PLLC
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 11130 DRUMADOON DR
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City | RICHMOND
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State | TX
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Zip | 77407-2036
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Country | US
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Telephone | 714-331-5725
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Fax |
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Provider Business Mailing Address
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Address Line | 11130 DRUMADOON DR
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City | RICHMOND
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State | TX
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Zip | 77407-2036
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Country | US
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Telephone | 714-331-5725
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | MICHAEL NGO
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Credential | D.O
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Telephone | 714-331-5725
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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 | Q7760
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License Number State | TX
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