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General NPI Number Information
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NPI Number | 1023552460
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Entity Type | Individual
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Provider Name | CHIA NENG VANG RPH
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Gender | Male
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Dates
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Enumeration Date | 12/04/2016
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Last Update Date | 11/30/2019
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Provider Practice Location Address
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Address Line | 3550 N INTERSTATE AVE
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City | PORTLAND
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State | OR
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Zip | 97227-1196
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Country | US
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Telephone | 866-279-6122
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Fax | 503-249-3438
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Provider Business Mailing Address
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Address Line | 3550 N INTERSTATE AVE
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City | PORTLAND
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State | OR
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Zip | 97227-1196
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Country | US
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Telephone | 503-753-6906
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Fax | 503-249-3438
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 00009249
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License Number State | OR
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