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General NPI Number Information
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NPI Number | 1568426740
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Entity Type | Individual
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Provider Name | VINH H VU MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 10/10/2018
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Provider Practice Location Address
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Address Line | 1035 S MAIN AVE
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City | FALLBROOK
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State | CA
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Zip | 92028-3338
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Country | US
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Telephone | 714-549-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 39765 DATE ST STE 102
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City | MURRIETA
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State | CA
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Zip | 92563-2005
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Country | US
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Telephone | 714-665-1600
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C52540
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License Number State | CA
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