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General NPI Number Information
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NPI Number | 1548283807
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Entity Type | Organization
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Legal Business Name | THONG M DO, MD, PA
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 06/22/2008
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Provider Practice Location Address
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Address Line | 18455 W LAKE HOUSTON PKWY SUITE 190
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City | HUMBLE
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State | TX
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Zip | 77346-3539
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Country | US
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Telephone | 281-812-3736
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Fax | 281-812-3737
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Provider Business Mailing Address
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Address Line | 18455 W LAKE HOUSTON PKWY SUITE 190
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City | HUMBLE
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State | TX
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Zip | 77346-3539
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Country | US
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Telephone | 281-812-3736
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Fax | 281-812-3737
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Authorized Official
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Title or Position | OWNER
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Name | DR. THONG MANH DO
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Credential | MD
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Telephone | 281-812-3736
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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 | K0717
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License Number State | TX
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