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General NPI Number Information
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NPI Number | 1972438547
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Entity Type | Individual
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Provider Name | BAO GIA HA
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Gender | Male
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 3700 O ST NW
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City | WASHINGTON
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State | DC
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Zip | 20057-0002
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Country | US
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Telephone | 210-803-3665
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Fax |
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Provider Business Mailing Address
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Address Line | 1413 ANCHOR ST
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City | BALTIMORE
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State | MD
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Zip | 21230-4331
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 982947
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License Number State | TX
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