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General NPI Number Information
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NPI Number | 1619954799
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Entity Type | Organization
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Legal Business Name | ATASCOCITA PRIMARY CARE, PA
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 07/11/2015
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Provider Practice Location Address
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Address Line | 18700 W LAKE HOUSTON PKWY STE A104
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City | HUMBLE
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State | TX
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Zip | 77346-3349
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Country | US
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Telephone | 281-852-9500
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Fax | 281-852-9755
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Provider Business Mailing Address
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Address Line | 18700 W LAKE HOUSTON PKWY STE A104
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City | HUMBLE
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State | TX
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Zip | 77346-3349
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Country | US
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Telephone | 281-852-9500
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Fax | 281-852-9755
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HUONG QUYNH HOANG
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Credential | MD
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Telephone | 281-852-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | K5556
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License Number State | TX
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