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General NPI Number Information
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NPI Number | 1124582812
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Entity Type | Individual
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Provider Name | LAUREEN NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 01/26/2019
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 5302 RANCHO RD
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-2069
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Country | US
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Telephone | 866-340-0511
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Fax |
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Provider Business Mailing Address
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Address Line | 10058 RIO HONDO PKWY
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City | EL MONTE
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State | CA
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Zip | 91733-1346
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Country | US
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Telephone | 626-643-1982
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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 | 80224
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License Number State | CA
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