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General NPI Number Information
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NPI Number | 1003331620
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Entity Type | Individual
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Provider Name | THUYDAN-DARLENE VU DO
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Gender | Female
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 41400 BLACOW RD
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City | FREMONT
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State | CA
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Zip | 94538-3387
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Country | US
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Telephone | 510-440-8195
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Fax |
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Provider Business Mailing Address
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Address Line | 2844 SCHOONER CT
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City | SAN JOSE
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State | CA
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Zip | 95148-3038
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Country | US
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Telephone | 408-472-7365
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 75178
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License Number State | CA
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