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General NPI Number Information
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NPI Number | 1346410776
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Entity Type | Individual
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Provider Name | TRIEU TIMOTHY D VO
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Gender | Male
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 15 ARGONAUT
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City | ALISO VIEJO
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State | CA
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Zip | 92656
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Country | US
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Telephone | 949-900-5500
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Fax | 949-900-5501
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Provider Business Mailing Address
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Address Line | 47 ORCHARD
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City | IRVINE
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State | CA
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Zip | 92618-4543
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Country | US
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Telephone | 949-394-8893
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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 | 170100000X
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Taxonomy Name | Ph.D. Medical Genetics
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License Number | DRN 34
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License Number State | CA
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