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General NPI Number Information
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NPI Number | 1003185398
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Entity Type | Individual
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Provider Name | HOANG CUC THI NGUYEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/15/2011
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Last Update Date | 12/15/2011
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Provider Practice Location Address
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Address Line | 4502 S ORANGE BLOSSOM TRL
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City | ORLANDO
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State | FL
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Zip | 32839-1704
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Country | US
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Telephone | 407-851-6040
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Fax | 407-859-2558
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Provider Business Mailing Address
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Address Line | 8242 LYNCH DR
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City | ORLANDO
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State | FL
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Zip | 32835-5900
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS39043
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License Number State | FL
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