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General NPI Number Information
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NPI Number | 1043303472
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Entity Type | Organization
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Legal Business Name | TWIN R NO 2 INC
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 249 N DOUGLAS BLVD
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City | MIDWEST CITY
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State | OK
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Zip | 73130-3309
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Country | US
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Telephone | 405-741-4411
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Fax | 405-733-7260
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Provider Business Mailing Address
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Address Line | PO BOX 10763
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City | MIDWEST CITY
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State | OK
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Zip | 73140-1763
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MACVICTOR VIET KY NGUYEN
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Credential |
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Telephone | 405-741-4411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1-4593
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License Number State | OK
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