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General NPI Number Information
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NPI Number | 1912867110
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Entity Type | Individual
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Provider Name | VANESSA HOANG
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Gender | Female
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 3737 MORAGA AVE STE B103
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City | SAN DIEGO
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State | CA
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Zip | 92117-5352
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Country | US
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Telephone | 858-799-0855
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Fax |
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Provider Business Mailing Address
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Address Line | 15766 CAMINO CRISALIDA
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City | SAN DIEGO
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State | CA
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Zip | 92127-5834
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA66734
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License Number State | CA
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