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General NPI Number Information
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NPI Number | 1205142601
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Entity Type | Individual
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Provider Name | HUY VO PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 08/23/2010
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Last Update Date | 08/23/2010
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Provider Practice Location Address
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Address Line | 13822 BROOKHURST ST
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City | GARDEN GROVE
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State | CA
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Zip | 92843-3121
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Country | US
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Telephone | 714-530-3136
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Fax | 714-530-5235
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Provider Business Mailing Address
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Address Line | 10148 DECIMA DR
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City | WESTMINSTER
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State | CA
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Zip | 92683-7048
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Country | US
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Telephone | 714-775-6412
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 56980
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License Number State | CA
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