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General NPI Number Information
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NPI Number | 1962306621
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Entity Type | Organization
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Legal Business Name | PAUL VUONG DO A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 22870 NAVUT AVE
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City | WILDOMAR
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State | CA
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Zip | 92595-9512
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Country | US
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Telephone | 408-605-7151
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Fax | 714-639-7828
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Provider Business Mailing Address
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Address Line | 22870 NAVUT AVE
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City | WILDOMAR
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State | CA
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Zip | 92595-9512
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Country | US
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Telephone | 408-605-7151
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Fax | 714-639-7828
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Authorized Official
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Title or Position | OWNER
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Name | PAUL VUONG
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Credential | DO
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Telephone | 408-605-7151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NULL
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