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General NPI Number Information
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NPI Number | 1447526835
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Entity Type | Organization
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Legal Business Name | BRYAN VO, MD, INC
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Dates
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Enumeration Date | 03/29/2012
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Last Update Date | 12/21/2012
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Provider Practice Location Address
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Address Line | 24411 HEALTH CENTER DR
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3651
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Country | US
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Telephone | 949-452-3733
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Fax |
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Provider Business Mailing Address
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Address Line | 24411 HEALTH CENTER DR
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3651
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Country | US
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Telephone | 949-452-3733
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRYAN VO
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Credential | MD
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Telephone | 949-452-3733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A96744
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A96744
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A96744
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License Number State | CA
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