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General NPI Number Information
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NPI Number | 1780494781
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Entity Type | Individual
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Provider Name | FAITH DANG-KHOA HUYNH PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 160 HAWLEY LN STE 104
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City | TRUMBULL
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State | CT
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Zip | 06611-5379
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Country | US
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Telephone | 475-265-5350
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Fax |
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Provider Business Mailing Address
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Address Line | 160 HAWLEY LN STE 104
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City | TRUMBULL
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State | CT
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Zip | 06611-5379
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 6930
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 6930
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License Number State | CT
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