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General NPI Number Information
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NPI Number | 1043469422
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Entity Type | Organization
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Legal Business Name | PLEASANTON FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 02/09/2009
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Provider Practice Location Address
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Address Line | 1240 W OAKLAWN RD SUITE 106
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City | PLEASANTON
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State | TX
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Zip | 78064-4300
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Country | US
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Telephone | 830-569-3553
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Fax |
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Provider Business Mailing Address
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Address Line | 1240 W OAKLAWN RD SUITE 106
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City | PLEASANTON
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State | TX
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Zip | 78064-4300
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Country | US
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Telephone | 830-569-3553
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS T VUONG
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Credential | MD
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Telephone | 830-569-3553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | L7917
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License Number State | TX
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