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General NPI Number Information
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NPI Number | 1912113374
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Entity Type | Organization
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Legal Business Name | HIEP A CAO MD
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 05/21/2020
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Provider Practice Location Address
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Address Line | 1824 KANSAS AVE
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City | WOODWARD
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State | OK
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Zip | 73801-2912
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Country | US
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Telephone | 580-256-9263
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Fax | 580-256-9267
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Provider Business Mailing Address
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Address Line | 1824 KANSAS AVE
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City | WOODWARD
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State | OK
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Zip | 73801-2912
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Country | US
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Telephone | 580-256-9263
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Fax | 580-256-9267
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Authorized Official
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Title or Position | M.D.
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Name | DR. HIEP ANDREW CAO
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Credential | M.D.
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Telephone | 580-256-9263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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