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General NPI Number Information
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NPI Number | 1730767690
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Entity Type | Individual
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Provider Name | VI HUNG PHAM MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 4040 LEGACY DR STE 201
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City | FRISCO
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State | TX
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Zip | 75034-6748
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Country | US
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Telephone | 972-668-6705
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Fax | 972-668-7308
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Provider Business Mailing Address
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Address Line | 4040 LEGACY DR STE 201
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City | FRISCO
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State | TX
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Zip | 75034-6748
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Country | US
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Telephone | 972-668-6705
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Fax | 972-668-7308
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | U6048
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License Number State | TX
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