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General NPI Number Information
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NPI Number | 1518189778
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Entity Type | Organization
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Legal Business Name | PAUL VU PH CHIROPRACTIC INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 11/26/2012
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Provider Practice Location Address
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Address Line | 5604 BALBOA AVE STE 106
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City | SAN DIEGO
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State | CA
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Zip | 92111-2732
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Country | US
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Telephone | 858-492-1000
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Fax | 858-492-1077
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Provider Business Mailing Address
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Address Line | 5604 BALBOA AVE STE 106
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City | SAN DIEGO
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State | CA
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Zip | 92111-2732
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Country | US
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Telephone | 858-492-1000
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Fax | 858-492-1077
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. PAUL VU
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Credential | D.C.
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Telephone | 858-492-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC22485
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License Number State | CA
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