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General NPI Number Information
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NPI Number | 1033060835
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Entity Type | Individual
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Provider Name | TANNER LE NGUYEN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 2170 FREMONT ST
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City | MONTEREY
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State | CA
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Zip | 93940-5213
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Country | US
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Telephone | 831-375-5135
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Fax |
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Provider Business Mailing Address
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Address Line | 18700 ALTA VENTURA CT
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City | MORGAN HILL
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State | CA
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Zip | 95037-9087
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Country | US
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Telephone | 408-375-0714
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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 | 91907
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License Number State | CA
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