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General NPI Number Information
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NPI Number | 1629065743
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Entity Type | Individual
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Provider Name | HUNG C HUYNH MD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 02/24/2010
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Provider Practice Location Address
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Address Line | 425 HOLDERRIETH BLVD. STE 105
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City | TOMBALL
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State | TX
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Zip | 77375
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Country | US
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Telephone | 281-357-5688
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Fax | 281-357-5699
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Provider Business Mailing Address
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Address Line | 9706 BLUE CRULS WAY
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City | SPRING
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State | TX
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Zip | 77389
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Country | US
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Telephone | 281-357-5688
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Fax | 281-357-5699
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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 | K4711
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License Number State | TX
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