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General NPI Number Information
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NPI Number | 1184605859
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Entity Type | Individual
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Provider Name | LOUIS PAK-SHUN VU M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 09/09/2016
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Provider Practice Location Address
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Address Line | 5310 W THUNDERBIRD RD SUITE 110
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City | GLENDALE
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State | AZ
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Zip | 85306-4706
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Country | US
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Telephone | 602-865-4510
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Fax | 602-865-6100
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Provider Business Mailing Address
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Address Line | 5310 W THUNDERBIRD RD SUITE 110
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City | GLENDALE
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State | AZ
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Zip | 85306-4706
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Country | US
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Telephone | 602-865-4510
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Fax | 602-865-6100
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25183
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | 25183
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License Number State | AZ
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