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General NPI Number Information
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NPI Number | 1578732871
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Entity Type | Organization
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Legal Business Name | USA MEDICAL PLLC
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 4431 W WALNUT ST SUITE D
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City | GARLAND
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State | TX
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Zip | 75042-4107
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Country | US
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Telephone | 972-276-8500
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Fax | 469-814-9380
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Provider Business Mailing Address
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Address Line | 4431 W WALNUT ST SUITE D
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City | GARLAND
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State | TX
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Zip | 75042-4107
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Country | US
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Telephone | 972-276-8500
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Fax | 469-814-9380
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Authorized Official
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Title or Position | OWNER
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Name | BINH DAC HO
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Credential | MD
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Telephone | 972-276-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | K3236
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K3236
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | TEXAS TEMP
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License Number State | TX
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