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General NPI Number Information
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NPI Number | 1326778184
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Entity Type | Individual
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Provider Name | CINDY VU DMD
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Gender | Female
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 12100 VALLEY BLVD STE 112
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City | EL MONTE
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State | CA
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Zip | 91732-3100
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Country | US
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Telephone | 626-575-7500
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Fax | 626-575-1956
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Provider Business Mailing Address
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Address Line | 12100 VALLEY BLVD STE 112
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City | EL MONTE
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State | CA
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Zip | 91732-3100
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 107480
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License Number State | CA
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