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General NPI Number Information
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NPI Number | 1396781969
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Entity Type | Individual
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Provider Name | VICTOR L PAPPOE MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 09/20/2011
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Provider Practice Location Address
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Address Line | 1900 ROYALTY DR SUITE 130
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City | POMONA
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State | CA
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Zip | 91767-3032
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Country | US
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Telephone | 909-623-1561
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Fax | 909-623-1100
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Provider Business Mailing Address
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Address Line | 1900 ROYALTY DR SUITE 130
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City | POMONA
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State | CA
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Zip | 91767-3032
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Country | US
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Telephone | 909-623-1561
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Fax | 909-623-1100
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | G46207
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License Number State | CA
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