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General NPI Number Information
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NPI Number | 1912423443
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Entity Type | Individual
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Provider Name | VI THUY DINH
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Gender | Female
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 08/16/2017
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Provider Practice Location Address
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Address Line | 500 ALA MOANA BLVD STE 7-400
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City | HONOLULU
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State | HI
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Zip | 96813-4902
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Country | US
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Telephone | 808-354-0090
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Fax |
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Provider Business Mailing Address
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Address Line | 5933 CHESBRO AVE
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City | SAN JOSE
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State | CA
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Zip | 95123-3916
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Country | US
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Telephone |
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-16-23962
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License Number State | CA
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