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General NPI Number Information
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NPI Number | 1134386824
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Entity Type | Individual
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Provider Name | LAN K NGO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | VA NORTHERN INDIANA HEALTH CARE SYSTEM - MARION 1700 EAST 38TH ST
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City | MARION
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State | IN
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Zip | 46953-4568
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Country | US
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Telephone | 765-674-3321
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Fax |
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Provider Business Mailing Address
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Address Line | 12202 EDDINGTON PL
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City | FISHERS
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State | IN
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Zip | 46037-5404
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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 | 29413
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License Number State | TN
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