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General NPI Number Information
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NPI Number | 1679890099
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Entity Type | Individual
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Provider Name | HUY DUC DO D.O
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Gender | Male
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Dates
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Enumeration Date | 04/24/2010
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Last Update Date | 12/13/2019
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Provider Practice Location Address
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Address Line | BROOKE ARMY MEDICAL CENTER 3551 ROGER BROOKE DR
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234
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Country | US
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Telephone | 210-916-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 12107 SAXONY LN
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City | AUSTIN
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State | TX
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Zip | 78727-5955
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Country | US
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Telephone | 301-704-3542
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R0852
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License Number State | TX
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