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General NPI Number Information
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NPI Number | 1790251676
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Entity Type | Organization
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Legal Business Name | HUY T HO MD, INC
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Dates
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Enumeration Date | 10/18/2018
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 12903 LONGBOAT WAY
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City | DEL MAR
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State | CA
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Zip | 92014-3829
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Country | US
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Telephone | 760-828-2196
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Fax | 888-673-4870
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Provider Business Mailing Address
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Address Line | 12903 LONGBOAT WAY
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City | DEL MAR
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State | CA
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Zip | 92014-3829
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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 | CHIEF MEDICAL OFFICER
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Name | DR. HUY HO
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Credential | MD
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Telephone | 917-771-5441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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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 |
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License Number State |
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