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General NPI Number Information
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NPI Number | 1508193889
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Entity Type | Individual
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Provider Name | HOANG MINH DUONG M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2009
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Last Update Date | 07/09/2016
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Provider Practice Location Address
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Address Line | 991 MONTAGUE EXPY STE 104
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City | MILPITAS
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State | CA
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Zip | 95035-6809
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Country | US
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Telephone | 408-263-6073
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Fax | 408-263-6077
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Provider Business Mailing Address
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Address Line | 991 MONTAGUE EXPY STE 104
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City | MILPITAS
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State | CA
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Zip | 95035-6809
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Country | US
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Telephone | 408-263-6073
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Fax | 408-263-6077
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | C53823
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License Number State | CA
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