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General NPI Number Information
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NPI Number | 1861705477
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Entity Type | Individual
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Provider Name | TUNG THANH HO M.D
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Gender | Male
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Dates
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Enumeration Date | 07/24/2010
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Last Update Date | 07/24/2010
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Provider Practice Location Address
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Address Line | 219 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-1519
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Country | US
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Telephone | 215-965-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 2362 E NORRIS ST
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City | PHILADELPHIA
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State | PA
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Zip | 19125-1929
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Country | US
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Telephone | 407-780-5003
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT198187
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License Number State | PA
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