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General NPI Number Information
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NPI Number | 1659778124
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Entity Type | Individual
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Provider Name | KIM THANH VO PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 11/29/2014
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Last Update Date | 06/04/2019
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Provider Practice Location Address
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Address Line | 2575 YORBA LINDA BLVD
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City | FULLERTON
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State | CA
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Zip | 92831-1699
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Country | US
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Telephone | 714-872-5705
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Fax |
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Provider Business Mailing Address
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Address Line | 6167 VISTA SANTA CATARINA
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City | SAN DIEGO
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State | CA
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Zip | 92154-5686
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Country | US
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Telephone | 858-336-2548
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202213210
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 79210
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License Number State | CA
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