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General NPI Number Information
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NPI Number | 1154985174
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Entity Type | Individual
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Provider Name | CHRISTINE TRAN VU DO
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Gender | Female
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 929 N SAINT FRANCIS AVE
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City | WICHITA
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State | KS
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Zip | 67214-3821
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Country | US
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Telephone | 316-268-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 225 N SYCAMORE ST APT 219
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City | WICHITA
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State | KS
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Zip | 67203-6140
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Country | US
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Telephone | 408-489-5027
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0549848
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License Number State | KS
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