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General NPI Number Information
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NPI Number | 1619978681
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Entity Type | Individual
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Provider Name | VIN X VU DDS
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 03/08/2013
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Provider Practice Location Address
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Address Line | 1013 N MAIN ST
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City | OSHKOSH
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State | WI
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Zip | 54901-3837
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Country | US
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Telephone | 920-235-0320
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Fax |
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Provider Business Mailing Address
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Address Line | 364 FOREST VIEW RD
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City | OSHKOSH
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State | WI
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Zip | 54904-7662
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Country | US
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Telephone | 920-235-0320
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 5240-015
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License Number State | WI
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