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General NPI Number Information
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NPI Number | 1629657978
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Entity Type | Individual
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Provider Name | FRANK DANG DO
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Gender | Male
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 4796 OLD TAR RD
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City | WINTERVILLE
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State | NC
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Zip | 28590-9752
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Country | US
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Telephone | 252-353-4111
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Fax |
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Provider Business Mailing Address
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Address Line | 3956 COLONY WOODS DR
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City | GREENVILLE
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State | NC
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Zip | 27834-6857
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Country | US
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Telephone | 512-665-3315
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Fax |
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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 | 0102207941
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License Number State | VA
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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 | 2024-00565
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License Number State | NC
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