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General NPI Number Information
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NPI Number | 1386742583
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Entity Type | Individual
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Provider Name | JENNIFER-OANH VU PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 02/17/2018
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Provider Practice Location Address
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Address Line | 11301 WILSHIRE BLVD # 119
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City | LOS ANGELES
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State | CA
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Zip | 90073-1003
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Country | US
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Telephone | 310-268-3244
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 431
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City | THOUSAND OAKS
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State | CA
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Zip | 91319-0431
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Country | US
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Telephone | 805-905-9385
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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 | 51238
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License Number State | CA
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