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General NPI Number Information
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NPI Number | 1659199875
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Entity Type | Individual
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Provider Name | BAO QUYEN UYEN VU
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Gender | Female
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Dates
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Enumeration Date | 09/26/2024
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 14571 MAGNOLIA STREET #201
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City | WESTMINSTER
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State | CA
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Zip | 92683
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Country | US
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Telephone | 714-548-5306
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Fax | 714-845-9808
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Provider Business Mailing Address
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Address Line | 13321 DANVERS WAY
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City | WESTMINSTER
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State | CA
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Zip | 92683-1719
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Country | US
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Telephone | 714-548-5306
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Fax | 714-845-9808
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AG12240046
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95218258
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License Number State | CA
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