1962904623 NPI number — ANH TU MI MI DUONG-GAUDIO LCPC

Table of content: ANH TU MI MI DUONG-GAUDIO LCPC (NPI 1962904623)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962904623 NPI number — ANH TU MI MI DUONG-GAUDIO LCPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DUONG-GAUDIO
Provider First Name:
ANH TU
Provider Middle Name:
MI MI
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962904623
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12422 FALCONBRIDGE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH POTOMAC
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20878-3477
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-525-5519
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11350 MCCORMICK RD STE LL4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNT VALLEY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21031-1002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-927-5462
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/08/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  LC8435 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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