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Individual
HENRY D. DO
Active
Individual
HENRY D. DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A77453
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A774530
BLUE SHIELD ID #
—
05
—
00A774530
—
CA
01
—
106710
HEALTH NET ID #
—
Enumeration date
05/25/2006
Last updated
07/27/2011
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