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General NPI Number Information
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NPI Number | 1952172108
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Entity Type | Individual
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Provider Name | CHRISTOPHER C VU
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Gender | Male
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 4333 SOUTH ST
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City | LAKEWOOD
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State | CA
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Zip | 90712-1148
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Country | US
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Telephone | 562-616-0056
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Fax |
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Provider Business Mailing Address
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Address Line | 120 RETREAT
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City | IRVINE
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State | CA
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Zip | 92603-0681
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Country | US
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Telephone | 949-560-7619
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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 | 88803
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License Number State | CA
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