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Individual
DR. LONG BAO HOANG
Active
Individual
DR. LONG BAO HOANG
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
L5769
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00142628
RAILROAD MEDICARE PIN
TX
Enumeration date
03/07/2006
Last updated
03/19/2009
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