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General NPI Number Information
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NPI Number | 1750715330
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Entity Type | Organization
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Legal Business Name | TRI HUYNH DO PLLC
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Dates
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Enumeration Date | 08/30/2013
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Last Update Date | 10/17/2013
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Provider Practice Location Address
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Address Line | 3105 CITRUS TOWER BLVD SUITE B
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City | CLERMONT
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State | FL
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Zip | 34711-6892
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Country | US
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Telephone | 352-243-6600
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Fax | 352-243-6608
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Provider Business Mailing Address
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Address Line | PO BOX 121007
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City | CLERMONT
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State | FL
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Zip | 34712-1007
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Country | US
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Telephone | 352-243-6600
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Fax | 352-243-6608
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Authorized Official
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Title or Position | OWNER
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Name | DR. TRI HUYNH
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Credential | DO
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Telephone | 352-243-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | OS9920
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License Number State | FL
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