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General NPI Number Information
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NPI Number | 1932674603
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Entity Type | Individual
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Provider Name | HUYEN THI-MONG VU RPH
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Gender | Female
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Dates
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Enumeration Date | 10/09/2018
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Last Update Date | 10/09/2018
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Provider Practice Location Address
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Address Line | 1145 S MAIN ST
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City | RED BLUFF
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State | CA
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Zip | 96080-4357
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Country | US
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Telephone | 530-528-0478
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Fax |
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Provider Business Mailing Address
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Address Line | 100 HILLTOP DR APT 36
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City | REDDING
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State | CA
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Zip | 96003-2816
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Country | US
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Telephone | 408-896-7990
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 79518
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License Number State | CA
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