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General NPI Number Information
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NPI Number | 1144642687
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Entity Type | Individual
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Provider Name | VU HOANG CHAU RN
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Gender | Male
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Dates
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Enumeration Date | 01/17/2014
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 4801 W 1ST ST SPC 78
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City | SANTA ANA
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State | CA
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Zip | 92703-3141
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Country | US
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Telephone | 714-425-7740
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Fax |
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Provider Business Mailing Address
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Address Line | 4801 W 1ST ST SPC 78
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City | SANTA ANA
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State | CA
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Zip | 92703-3141
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Country | US
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Telephone | 714-425-7740
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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 | 1710I1002X
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Taxonomy Name | Independent Duty Corpsman
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN9502317
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License Number State | FL
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