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General NPI Number Information
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NPI Number | 1033543418
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Entity Type | Individual
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Provider Name | NHI T NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 1645 E BERT KOUNS INDUSTRIAL LOOP
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City | SHREVEPORT
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State | LA
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Zip | 71105-5725
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Country | US
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Telephone | 318-797-9165
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Fax |
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Provider Business Mailing Address
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Address Line | 6307 MOSSWOOD DR
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City | MONROE
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State | LA
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Zip | 71203-3217
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Country | US
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Telephone | 318-380-5026
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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 | 020184
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License Number State | LA
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