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General NPI Number Information
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NPI Number | 1033714092
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Entity Type | Individual
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Provider Name | CHI NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 465 STATION AVE
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City | SOUTH YARMOUTH
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State | MA
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Zip | 02664-1849
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Country | US
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Telephone | 508-394-0926
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Fax |
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Provider Business Mailing Address
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Address Line | 4 CHAPEL HILL DR APT 2
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City | PLYMOUTH
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State | MA
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Zip | 02360-6013
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Country | US
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Telephone | 469-230-3397
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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 | 65877
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH239423
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License Number State | MA
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