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General NPI Number Information
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NPI Number | 1609286210
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Entity Type | Organization
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Legal Business Name | VITACARE FAMILY PRACTICE PLLC
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 10694 JONES RD STE 120
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City | HOUSTON
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State | TX
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Zip | 77065-4236
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Country | US
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Telephone | 832-953-3232
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Fax | 832-717-2388
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Provider Business Mailing Address
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Address Line | 11399 VETERANS MEMORIAL DR STE B
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City | HOUSTON
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State | TX
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Zip | 77067-3800
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Country | US
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Telephone | 832-953-3232
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Fax | 832-717-2388
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Authorized Official
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Title or Position | PROVIDER
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Name | VINH VO
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Credential | NP
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Telephone | 832-953-3232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP122232
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License Number State | TX
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