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NPI 1003612672

NPI 1003612672 : MEGAN N NGUYEN RPH : CULVER CITY, CA

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General NPI Number Information
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    NPI Number           |    1003612672
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN N NGUYEN RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/24/2025
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    Last Update Date     |    02/24/2025
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Provider Practice Location Address
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    Address Line         |    6076 BRISTOL PKWY STE 104 
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    City                 |    CULVER CITY
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    State                |    CA
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    Zip                  |    90230-6600
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    Country              |    US
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    Telephone            |    310-645-1500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4833 W 134TH ST 
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    City                 |    HAWTHORNE
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    State                |    CA
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    Zip                  |    90250-5056
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    Country              |    US
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    Telephone            |    714-886-0898
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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       |    90058
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    License Number State |    CA
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