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General NPI Number Information
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NPI Number | 1164245502
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Entity Type | Individual
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Provider Name | KATHERINE VU PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 3530 ATLANTIC AVE STE 108
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City | LONG BEACH
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State | CA
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Zip | 90807-4569
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Country | US
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Telephone | 562-988-8818
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Fax |
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Provider Business Mailing Address
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Address Line | 4615 DURFEE AVE
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City | EL MONTE
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State | CA
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Zip | 91732-1723
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Country | US
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Telephone | 626-548-9915
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA65285
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License Number State | CA
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