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General NPI Number Information
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NPI Number | 1568934511
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Entity Type | Organization
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Legal Business Name | VINASLIST LLC
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Dates
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Enumeration Date | 12/31/2018
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Last Update Date | 12/31/2018
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Provider Practice Location Address
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Address Line | 100 W PIONEER PKWY STE 156
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City | ARLINGTON
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State | TX
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Zip | 76010-6142
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Country | US
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Telephone | 817-899-0070
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Fax |
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Provider Business Mailing Address
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Address Line | 2109 CHALICE RD
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City | ARLINGTON
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State | TX
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Zip | 76014-1607
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Country | US
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Telephone | 817-899-0070
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TUAN NGUYEN
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Credential |
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Telephone | 817-899-0070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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