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General NPI Number Information
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NPI Number | 1639943723
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Entity Type | Organization
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Legal Business Name | TONY BAO NP IN FAMILY HEALTH, P.C.
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 86 BRIGHTON 1ST PL FL 1
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City | BROOKLYN
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State | NY
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Zip | 11235-7473
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Country | US
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Telephone | 347-374-5026
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Fax |
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Provider Business Mailing Address
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Address Line | 2685 E 22ND ST APT 1B
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City | BROOKLYN
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State | NY
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Zip | 11235-2871
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Country | US
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Telephone | 347-977-4507
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | TONY BAO
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Credential | FNP-C
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Telephone | 347-374-5026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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