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NPI Code Detail

MEDICARE: HENRY TSAO MD

MEDICARE:   HENRY  TSAO  MD
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
1207L00000XAnesthesiology PhysicianD36017MD

General Provider Information

NPI Number : 1700861036
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRY TSAO MD
Provider Business Mailing Address
First Line : 607 BEAMAN ST
Second Line :
City : CLINTON
State : NC
Zip : 28328-2603
Country : US
Telephone Number : 910-592-8511
Fax Number : 910-592-2858
Provider Business Practice Location Address
First Line : 607 BEAMAN ST
Second Line :
City : CLINTON
State : NC
Zip : 28328-2603
Country : US
Telephone Number : 910-592-8511
Fax Number : 910-592-2858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 08/07/2007

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