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General NPI Number Information
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NPI Number | 1053184358
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Entity Type | Individual
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Provider Name | QUYNH NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 2238 GEARY BLVD
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3416
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Country | US
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Telephone | 415-833-7115
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Fax |
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Provider Business Mailing Address
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Address Line | 11345 DONNINGTON DR
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City | DULUTH
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State | GA
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Zip | 30097-8409
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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 |
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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 | 80837
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License Number State | CA
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