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Individual
TIM VU
Active
Individual
TIM VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12938
NV
207P00000X
Emergency Medicine Physician
Primary
P3597
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417169968
—
NV
Enumeration date
05/05/2007
Last updated
11/01/2022
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