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General NPI Number Information
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NPI Number | 1700997558
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Entity Type | Individual
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Provider Name | NHA THUC TO MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 2380 S US HIGHWAY 68
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City | URBANA
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State | OH
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Zip | 43078-9470
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Country | US
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Telephone | 937-653-5291
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Fax | 937-653-2839
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Provider Business Mailing Address
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Address Line | 711 WEYBRIDGE DR
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City | SPRINGFIELD
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State | OH
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Zip | 45503-1916
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Country | US
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Telephone | 937-408-4321
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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 | 35057458
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License Number State | OH
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