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NPI Code Detail

MEDICARE: DR. TAI M DUONG M.D.

MEDICARE: DR. TAI M DUONG M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME0043355FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101398OTHERFLBLUE CROSS

General Provider Information

NPI Number : 1356310643
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAI M DUONG M.D.
Provider Business Mailing Address
First Line : 7205 S GEORGE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33875-5847
Country : US
Telephone Number : 863-386-6040
Fax Number : 863-386-6040
Provider Business Practice Location Address
First Line : 7205 S GEORGE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33875-5847
Country : US
Telephone Number : 863-386-6040
Fax Number : 863-386-6040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 07/08/2007

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Directions to “ DR. TAI M DUONG M.D.” Practice Location

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