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General NPI Number Information
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NPI Number | 1538403456
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Entity Type | Organization
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Legal Business Name | VAN CAO 1, INC
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 202 N EUCLID ST STE 102
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City | SANTA ANA
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State | CA
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Zip | 92703-3006
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Country | US
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Telephone | 714-968-2000
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Fax | 714-554-6000
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Provider Business Mailing Address
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Address Line | 202 N EUCLID ST STE 102
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City | SANTA ANA
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State | CA
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Zip | 92703-3006
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Country | US
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Telephone | 714-968-2000
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Fax | 714-554-6000
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | DR. CHRISTINE THU BUI-TRAN
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Credential | PHARM. D.
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Telephone | 714-968-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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