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General NPI Number Information
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NPI Number | 1457804296
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Entity Type | Organization
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Legal Business Name | VAN KIM VO
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2051 N FRESNO ST
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City | FRESNO
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State | CA
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Zip | 93703-2237
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Country | US
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Telephone | 559-227-9210
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Fax | 559-227-5725
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Provider Business Mailing Address
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Address Line | 2051 N FRESNO ST
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City | FRESNO
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State | CA
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Zip | 93703-2237
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Country | US
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Telephone | 559-227-9210
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Fax | 559-227-5725
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Authorized Official
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Title or Position | DENTIST
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Name | DR. VAN KIM VO
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Credential |
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Telephone | 559-227-9210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | CA
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