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General NPI Number Information
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NPI Number | 1093174849
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Entity Type | Individual
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Provider Name | NHI THI DIEM NGUYEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/22/2016
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Last Update Date | 02/22/2016
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Provider Practice Location Address
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Address Line | 6850 AVENIDA ENCINAS
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City | CARLSBAD
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State | CA
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Zip | 92008
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Country | US
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Telephone | 760-931-4228
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Fax |
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Provider Business Mailing Address
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Address Line | 12204 ANSEL
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City | IRVINE
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State | CA
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Zip | 92618-0151
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Country | US
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Telephone | 949-232-9232
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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 | 56576
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License Number State | CA
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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 | 16607
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License Number State | NV
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