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General NPI Number Information
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NPI Number | 1730452301
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Entity Type | Organization
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Legal Business Name | MOORPARK COMPREHENSIVE URGENT CARE, INC.
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 865 PATRIOT DR SUITE 102
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City | MOORPARK
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State | CA
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Zip | 93021-3407
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Country | US
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Telephone | 805-532-2032
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Fax | 805-532-2844
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Provider Business Mailing Address
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Address Line | 2190 LYNN RD SUITE 220
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1980
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Country | US
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Telephone | 805-495-8050
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Fax | 805-495-2311
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. NHAT CONG VO
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Credential | M.D.
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Telephone | 805-532-2032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A60568
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License Number State | CA
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