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General NPI Number Information
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NPI Number | 1629716550
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Entity Type | Individual
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Provider Name | THIEN T VU MD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2022
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 10000 BAY PINES BLVD
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City | BAY PINES
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State | FL
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Zip | 33744-8200
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Country | US
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Telephone | 727-398-6661
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 GULF TO BAY BLVD
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City | CLEARWATER
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State | FL
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Zip | 33759-4514
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Country | US
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Telephone | 813-574-5200
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Fax | 442-212-2268
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35178
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License Number State | FL
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