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General NPI Number Information
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NPI Number | 1124281415
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Entity Type | Organization
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Legal Business Name | VU HONG PHAN CHIROPRACTIC INC
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 24301 SOUTHLAND DRIVE SUITE 311
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City | HAYWARD
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State | CA
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Zip | 94545-1552
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Country | US
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Telephone | 510-733-2225
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Fax | 510-200-9311
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Provider Business Mailing Address
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Address Line | 24301 SOUTHLAND DRIVE SUITE 311
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City | HAYWARD
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State | CA
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Zip | 94545-1552
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Country | US
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Telephone | 510-733-2225
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Fax | 510-200-9311
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. VU HONG PHAN
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Credential | D.C.
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Telephone | 510-733-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 28721
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License Number State | CA
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