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General NPI Number Information
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NPI Number | 1558497586
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Entity Type | Organization
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Legal Business Name | CANH JEFF V. VO, D. O., PSC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 12/02/2010
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Provider Practice Location Address
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Address Line | 551 WESTPORT RD STE D
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2950
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Country | US
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Telephone | 270-765-3301
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Fax | 270-765-3928
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Provider Business Mailing Address
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Address Line | 551D WESTPORT ROAD
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2950
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Country | US
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Telephone | 270-765-3301
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Fax | 270-765-3928
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CANH JEFF VAN VO
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Credential | D. O.
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Telephone | 270-765-3301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 02626
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License Number State | KY
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