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General NPI Number Information
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NPI Number | 1578044541
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Entity Type | Individual
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Provider Name | LINH PHUONG VU BCBA/LBA
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Gender | Female
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 09/21/2024
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Provider Practice Location Address
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Address Line | 914 140TH AVE NE STE 201
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City | BELLEVUE
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State | WA
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Zip | 98005-3482
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Country | US
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Telephone | 855-223-7123
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 33568
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City | SAN DIEGO
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State | CA
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Zip | 92163-3568
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Country | US
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Telephone | 855-223-7123
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Fax | 619-374-7134
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 5732
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BA61233258
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License Number State | WA
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