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General NPI Number Information
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NPI Number | 1437779238
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Entity Type | Individual
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Provider Name | CATHERINE KHANH-AN VU DO
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Gender | Female
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 108 ARIZONA ST
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City | BISBEE
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State | AZ
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Zip | 85603-1804
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Country | US
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Telephone | 520-432-3309
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 COLOMBO AVE APT 3104
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-5305
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 010276
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License Number State | AZ
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