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General NPI Number Information
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NPI Number | 1770760340
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Entity Type | Individual
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Provider Name | THU THIEN PHAM MD
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Gender | Female
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Dates
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Enumeration Date | 01/26/2008
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 7900 SUDLEY RD STE 208
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City | MANASSAS
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State | VA
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Zip | 20109-2856
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Country | US
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Telephone | 703-646-8568
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Fax | 703-596-3147
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Provider Business Mailing Address
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Address Line | 7900 SUDLEY RD STE 208
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City | MANASSAS
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State | VA
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Zip | 20109-2856
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Country | US
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Telephone | 703-646-8568
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Fax | 703-596-3147
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101269499
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 57-012348
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD437365
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License Number State | PA
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