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Individual
MS. MYTRANG T DANG
Active
Individual
MS. MYTRANG T DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
104212
NC
363AM0700X
Medical Physician Assistant
104212
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1281161
WELLPATH
NC
01
—
13268728
PHCS/MULTIPLAN
NC
01
—
1417135401
HUMANA
NC
05
—
1417135401
—
NC
01
—
15235
BCBS OF NC
NC
01
—
243133
MEDCOST LLC
NC
01
—
3211349
UNITED HEALTHCARE
NC
01
—
4015376
COVENTRY NATIONAL - COVENTRY PPO
NC
01
—
6602644
CIGNA GREATWEST
NC
01
—
9928411
AETNA
NC
01
—
FH4001595
FIRST CAROLINA CARE
NC
Enumeration date
02/01/2008
Last updated
06/02/2016
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