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General NPI Number Information
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NPI Number | 1487729018
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Entity Type | Organization
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Legal Business Name | PETER T. NGO, MD PA
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 1710 E SAUNDERS ST SUITE B350
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City | LAREDO
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State | TX
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Zip | 78041-5443
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Country | US
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Telephone | 956-712-9171
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Fax | 956-712-9402
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Provider Business Mailing Address
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Address Line | PO BOX 3289
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City | LAREDO
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State | TX
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Zip | 78044-3289
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Country | US
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Telephone | 956-712-9171
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Fax | 956-712-9402
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Authorized Official
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Title or Position | OWNER
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Name | PETER T. NGO
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Credential | M.D.
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Telephone | 956-712-9171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | L1952
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License Number State | TX
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