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General NPI Number Information
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NPI Number | 1538712864
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Entity Type | Individual
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Provider Name | STANLEY MINH VO D.C
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Gender | Male
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 07/16/2019
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Provider Practice Location Address
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Address Line | 2380 MONTPELIER DR STE 100
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City | SAN JOSE
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State | CA
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Zip | 95116-1620
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Country | US
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Telephone | 408-585-8956
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Fax | 408-937-1300
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Provider Business Mailing Address
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Address Line | 2380 MONTPELIER DR STE 100
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City | SAN JOSE
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State | CA
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Zip | 95116-1620
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Country | US
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Telephone | 408-585-8956
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Fax | 408-937-1300
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 34593
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License Number State | CA
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