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General NPI Number Information
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NPI Number | 1497783740
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Entity Type | Individual
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Provider Name | QUY VINH MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 16555 NW 25TH AVE
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City | MIAMI
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State | FL
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Zip | 33054
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Country | US
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Telephone | 305-620-3708
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Fax | 305-624-5296
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Provider Business Mailing Address
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Address Line | 19466 NW 62ND AVE
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City | HIALEAH
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State | FL
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Zip | 33015-4814
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Country | US
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Telephone | 305-623-0301
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Fax | 305-624-5296
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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 | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | ME0041333
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License Number State | FL
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