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General NPI Number Information
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NPI Number | 1114930500
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Entity Type | Individual
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Provider Name | VY N. VU M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | JERRY L PETTIS MEMORIAL CENTER RADIOLOGY DEPT 11201 BENTON STREET
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City | LOMA LINDA
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State | CA
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Zip | 92357-0001
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Country | US
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Telephone | 909-825-7084
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Fax |
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Provider Business Mailing Address
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Address Line | 8786 INISHEER WAY
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City | SACRAMENTO
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State | CA
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Zip | 95828-6147
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Country | US
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Telephone | 909-478-9413
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A71919
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License Number State | CA
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