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General NPI Number Information
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NPI Number | 1013529726
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Entity Type | Individual
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Provider Name | MR. NEIL TUAN NGUYEN
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Gender | Male
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 230 S BROADWAY
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City | PENNSVILLE
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State | NJ
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Zip | 08070-2724
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Country | US
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Telephone | 856-678-2224
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Fax | 856-678-5102
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Provider Business Mailing Address
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Address Line | 146 NORWAY LN
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City | LEBANON
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State | PA
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Zip | 17042-9003
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Country | US
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Telephone | 267-788-5127
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Fax | 717-273-2532
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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 | 28RI02650700
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License Number State | NJ
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