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General NPI Number Information
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NPI Number | 1710791744
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Entity Type | Individual
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Provider Name | KATHLEEN TRINH VUONG FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 600 N BELL BLVD STE 100
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City | CEDAR PARK
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State | TX
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Zip | 78613-2216
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Country | US
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Telephone | 737-321-0200
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Fax | 737-321-0201
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Provider Business Mailing Address
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Address Line | 9304 CLEAROCK DR
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City | AUSTIN
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State | TX
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Zip | 78750-2731
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Country | US
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Telephone | 512-801-9978
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Fax | 512-519-1127
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1140667
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License Number State | TX
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