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General NPI Number Information
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NPI Number | 1952590820
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Entity Type | Organization
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Legal Business Name | DUC H DO MD INC
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 307 PLACENTA AVE 202
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-0852
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Country | US
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Telephone | 949-574-4114
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Fax | 949-574-4144
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Provider Business Mailing Address
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Address Line | 307 PLACENTIA AVE STE 202
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3310
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Country | US
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Telephone | 949-574-4114
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Fax | 949-574-4144
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Authorized Official
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Title or Position | PRESIDENT
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Name | DUC H DO
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Credential | MD
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Telephone | 949-574-4114
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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 | A70134
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License Number State | CA
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