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General NPI Number Information
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NPI Number | 1487856423
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Entity Type | Individual
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Provider Name | VAN KIM VO D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 07/08/2007
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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 | 9254 N CONCORD DR
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City | FRESNO
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State | CA
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Zip | 93720-0733
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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 |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D34437
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License Number State | CA
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