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General NPI Number Information
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NPI Number | 1932620077
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Entity Type | Organization
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Legal Business Name | TMD HEALTH LLC
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 17942 SKY PARK CIR STE B
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City | IRVINE
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State | CA
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Zip | 92614-4431
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Country | US
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Telephone | 949-506-6001
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Fax | 800-303-1247
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Provider Business Mailing Address
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Address Line | 17942 SKY PARK CIR STE B
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City | IRVINE
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State | CA
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Zip | 92614-4431
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Country | US
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Telephone | 949-506-6001
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Fax | 800-303-1247
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | MR. TIEN M DO
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Credential |
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Telephone | 949-506-6001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 55555
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License Number State | CA
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