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1194049049
DAT THANH TA
CHARLOTTE, NC
NPI
1194049049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NC 2013-00142)
Enumeration Date
2010-03-22
Last Update Date
2014-03-19
Business Address
-- DAT THANH TA MD
10628 PARK RD EMERGENCY DEPARTMENT
CHARLOTTE, NC 28210-8407
Phone number: 877-678-0949
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Mailing Address
-- DAT THANH TA MD
10628 PARK RD EMERGENCY DEPARTMENT
CHARLOTTE, NC 28210-8407
Phone number: 877-678-0949
Copy
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