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General NPI Number Information
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NPI Number | 1003820788
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Entity Type | Individual
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Provider Name | DR. HIEU VUONG
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 12/01/2009
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Provider Practice Location Address
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Address Line | 3851 S SHERWOOD FOREST BLVD STE. 360
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City | BATON ROUGE
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State | LA
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Zip | 70816-4361
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Country | US
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Telephone | 225-293-0068
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Fax | 225-293-0018
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Provider Business Mailing Address
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Address Line | 3851 S SHERWOOD FOREST BLVD STE. 360
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City | BATON ROUGE
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State | LA
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Zip | 70816-4361
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Country | US
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Telephone | 225-293-0068
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Fax | 225-293-0018
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PD225R
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License Number State | LA
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