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General NPI Number Information
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NPI Number | 1255128344
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Entity Type | Individual
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Provider Name | KIMVI CAO HOANG
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Gender | Female
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 5701 KATELLA AVE
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City | CYPRESS
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State | CA
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Zip | 90630-2052
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Country | US
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Telephone | 763-361-4921
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Fax |
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Provider Business Mailing Address
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Address Line | 5172 DEL SOL CIR
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City | LA PALMA
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State | CA
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Zip | 90623-2210
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Country | US
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Telephone | 562-552-2596
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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 | 71715
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License Number State | CA
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