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General NPI Number Information
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NPI Number | 1578979266
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Entity Type | Organization
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Legal Business Name | OANH THE DUONG, M.D.
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 07/02/2014
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Provider Practice Location Address
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Address Line | 45955 SENTINEL PL NONE
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City | FREMONT
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State | CA
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Zip | 94539-6950
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Country | US
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Telephone | 510-371-8964
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Fax |
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Provider Business Mailing Address
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Address Line | 45955 SENTINEL PL. NONE
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City | FREMONT
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State | CA
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Zip | 94539
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Country | US
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Telephone | 510-371-8964
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Fax |
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Authorized Official
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Title or Position | DR DUONG
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Name | DR. OANH THE DUONG
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Credential | M.D.
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Telephone | 510-371-8964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | AFE33862
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License Number State | CA
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