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General NPI Number Information
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NPI Number | 1538996186
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Entity Type | Individual
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Provider Name | KHOA VO
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Gender | Male
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Dates
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Enumeration Date | 09/17/2024
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 3704 RUFFIN RD
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City | SAN DIEGO
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State | CA
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Zip | 92123-1812
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Country | US
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Telephone | 619-930-9750
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Fax |
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Provider Business Mailing Address
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Address Line | 3740 52ND ST APT 2
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City | SAN DIEGO
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State | CA
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Zip | 92105-3164
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Country | US
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Telephone | 619-315-8158
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 306444
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License Number State | CA
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