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General NPI Number Information
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NPI Number | 1790256436
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Entity Type | Individual
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Provider Name | JOSEPHINE VU
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Gender | Female
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Dates
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Enumeration Date | 12/06/2018
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 11938 PARAMOUNT BLVD
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City | DOWNEY
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State | CA
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Zip | 90242-2306
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Country | US
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Telephone | 562-923-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 1211 W LA PALMA AVE STE 702
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City | ANAHEIM
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State | CA
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Zip | 92801-2814
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Country | US
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Telephone | 714-533-0300
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95010060
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License Number State | CA
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