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General NPI Number Information
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NPI Number | 1972614758
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Entity Type | Organization
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Legal Business Name | THUTRANG DO, D.O.INC.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/11/2008
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Provider Practice Location Address
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Address Line | 15735 HAWTHORNE BLVD STE 111
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City | LAWNDALE
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State | CA
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Zip | 90260-0000
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Country | US
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Telephone | 310-675-1300
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Fax | 310-675-1461
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Provider Business Mailing Address
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Address Line | 15735 HAWTHORNE BLVD STE 111
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City | LAWNDALE
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State | CA
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Zip | 90260-0000
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Country | US
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Telephone | 310-675-1300
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Fax | 310-675-1461
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Authorized Official
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Title or Position | PRESIDENT
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Name | THUTRANG DO
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Credential | D.O.
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Telephone | 310-213-1453
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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 | 20A8885
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License Number State | CA
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