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General NPI Number Information
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NPI Number | 1881222636
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Entity Type | Individual
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Provider Name | TUNG VAN DAO DPM, MS
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Gender | Male
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Dates
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Enumeration Date | 03/28/2020
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Last Update Date | 08/11/2024
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Provider Practice Location Address
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Address Line | 2750 NEWARK GRANVILLE RD
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City | GRANVILLE
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State | OH
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Zip | 43023-9142
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Country | US
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Telephone | 740-788-9220
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Fax | 740-788-9226
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Provider Business Mailing Address
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Address Line | 6480 HARRISON AVE STE 201
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City | CINCINNATI
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State | OH
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Zip | 45247-7961
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Country | US
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Telephone | 513-818-0043
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Fax | 513-964-9575
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E5927
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 36.004148
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License Number State | OH
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