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General NPI Number Information
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NPI Number | 1770505067
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Entity Type | Individual
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Provider Name | TRI DUC DANG DO
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 5730 SILENT FOREST DR
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City | SAN ANTONIO
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State | TX
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Zip | 78250-2125
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Country | US
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Telephone | 210-523-7150
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Fax | 210-704-2882
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Provider Business Mailing Address
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Address Line | 7430 BARLITE BLVD
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City | SAN ANTONIO
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State | TX
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Zip | 78224-1365
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Country | US
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Telephone | 210-977-9332
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Fax | 210-921-3357
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | L1015
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L1015
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L1015
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License Number State | TX
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