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General NPI Number Information
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NPI Number | 1497728497
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Entity Type | Individual
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Provider Name | LYNDA K VU M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 06/14/2012
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Provider Practice Location Address
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Address Line | 2510 5TH ST USAF SCHOOL OF AEROSPACE MEDICINE
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City | WPAFB
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State | OH
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Zip | 45433-7951
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Country | US
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Telephone | 937-938-3088
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Fax |
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Provider Business Mailing Address
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Address Line | 2164 PRINCESS DR
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City | BEAVERCREEK
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State | OH
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Zip | 45434-8005
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Country | US
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Telephone | 702-556-5042
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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 | K1123
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License Number State | TX
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