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General NPI Number Information
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NPI Number | 1639993074
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Entity Type | Individual
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Provider Name | VAN THANH DANG NP
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Gender | Female
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 1 WYOMING ST
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City | DAYTON
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State | OH
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Zip | 45409-2722
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Country | US
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Telephone | 937-208-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 4471 TURTLEDOVE WAY
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City | MIAMISBURG
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State | OH
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Zip | 45342-0862
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Country | US
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Telephone | 937-825-2772
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | CNP-0037103
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License Number State | OH
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