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General NPI Number Information
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NPI Number | 1407514540
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Entity Type | Individual
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Provider Name | KURT VO
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Gender | Male
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Dates
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Enumeration Date | 12/06/2021
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 8250 WOODMAN AVE BLDG 2
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City | PANORAMA CITY
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State | CA
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Zip | 91402-5427
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Country | US
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Telephone | 818-375-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 82 JADE FLOWER
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City | IRVINE
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State | CA
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Zip | 92620
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Country | US
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Telephone | 714-402-2263
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | CA
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