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NPI 1245576925

NPI 1245576925 : NGOC K VU FNP-C : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1245576925
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    Entity Type          |    Individual 
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    Provider Name        |    NGOC K VU FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/27/2012
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    Last Update Date     |    02/04/2014
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Provider Practice Location Address
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    Address Line         |    6445 MAIN ST 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77030-1502
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    Country              |    US
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    Telephone            |    832-954-3488
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1100 AUGUSTA DR UNIT 50
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77057-2253
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    Country              |    US
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    Telephone            |    832-274-6978
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    756717
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    License Number State |    TX
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