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NPI 1518025766

NPI 1518025766 : HO SUNG PAK DO : NEW BRAUNFELS, TX

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General NPI Number Information
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    NPI Number           |    1518025766
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    Entity Type          |    Individual 
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    Provider Name        |    HO SUNG PAK DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/04/2006
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    Last Update Date     |    11/10/2025
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Provider Practice Location Address
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    Address Line         |    1770 STATE HIGHWAY 46 W 
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78132-5391
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    Country              |    US
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    Telephone            |    830-730-4125
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    Fax                  |    830-312-7896
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Provider Business Mailing Address
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    Address Line         |    425 W COLONIAL DR STE 303 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32804-6863
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    Country              |    US
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    Telephone            |    830-730-5025
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    Fax                  |    830-730-4207
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    K3819
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    K3819
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    License Number State |    TX
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