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NPI 1558650721

NPI 1558650721 : FLORENCE VAN MAI CHAU-ETCHEPARE MD : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1558650721
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    Entity Type          |    Individual 
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    Provider Name        |    FLORENCE VAN MAI CHAU-ETCHEPARE MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/28/2011
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    Last Update Date     |    04/05/2018
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Provider Practice Location Address
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    Address Line         |    4150 V ST STE 3400 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95817-1460
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    Country              |    US
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    Telephone            |    916-734-3564
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4150 V ST #1110
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95817-1460
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    Country              |    US
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    Telephone            |    
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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        |    207RC0200X
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    Taxonomy Name        |    Critical Care Medicine (Internal Medicine) Physician
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    License Number       |    A122475
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    A122475
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    A122475
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    License Number State |    CA
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