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General NPI Number Information
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NPI Number | 1477152346
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Entity Type | Individual
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Provider Name | VU T DUONG APRN
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Gender | Male
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Dates
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Enumeration Date | 10/21/2020
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Last Update Date | 12/03/2022
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Provider Practice Location Address
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Address Line | 7101 US HIGHWAY 19 N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-4607
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Country | US
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Telephone | 727-201-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 6165 58TH ST N APT 5E
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City | ST PETERSBURG
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State | FL
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Zip | 33709-1956
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Country | US
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Telephone | 727-834-0093
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 11009810
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License Number State | FL
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