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General NPI Number Information
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NPI Number | 1730417981
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Entity Type | Organization
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Legal Business Name | DR NGO MEDICAL CLINIC PA
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Dates
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Enumeration Date | 11/30/2009
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Last Update Date | 05/03/2010
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Provider Practice Location Address
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Address Line | 5168 W COLONIAL DR SUITE 40
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City | ORLANDO
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State | FL
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Zip | 32808-7604
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Country | US
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Telephone | 407-412-5936
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Fax | 407-601-0413
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Provider Business Mailing Address
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Address Line | PO BOX 1515
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City | WINDERMERE
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State | FL
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Zip | 34786-1515
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Country | US
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Telephone | 407-412-5936
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Fax | 407-601-0413
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Authorized Official
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Title or Position | OWNER
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Name | DR. HUNG Q NGO
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Credential | MD
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Telephone | 407-412-5936
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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 |
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License Number State |
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