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General NPI Number Information
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NPI Number | 1225369390
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Entity Type | Individual
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Provider Name | VIEN HOANG VANDERHOOF NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 01/28/2010
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Last Update Date | 01/28/2010
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Provider Practice Location Address
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Address Line | 10 CENTER DR
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City | BETHESDA
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State | MD
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Zip | 20892-0001
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Country | US
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Telephone | 301-435-7926
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Fax |
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Provider Business Mailing Address
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Address Line | 23141 NEWCUT RD
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City | CLARKSBURG
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State | MD
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Zip | 20871-9379
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Country | US
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Telephone | 301-972-4404
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Fax | 301-480-0665
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AC000078
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License Number State | MD
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