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General NPI Number Information
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NPI Number | 1003416215
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Entity Type | Individual
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Provider Name | NGOC ANH LE MARSHALL
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Gender | Female
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 19091 I 45 S
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City | SHENANDOAH
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State | TX
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Zip | 77385-8748
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Country | US
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Telephone | 932-271-1760
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Fax |
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Provider Business Mailing Address
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Address Line | 18638 SCORESBY MANOR DR
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City | SPRING
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State | TX
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Zip | 77379-5319
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Country | US
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Telephone | 832-585-7205
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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 | 47633
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License Number State | TX
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