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General NPI Number Information
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NPI Number | 1134410269
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Entity Type | Individual
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Provider Name | BECKY NGOC THIEU PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 04/23/2011
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Last Update Date | 04/23/2011
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Provider Practice Location Address
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Address Line | 3201 NW RANDALL WAY
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City | SILVERDALE
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State | WA
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Zip | 98383-7952
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Country | US
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Telephone | 360-536-6010
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Fax |
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Provider Business Mailing Address
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Address Line | 3524 NW PRINCETON LN APT 14-107
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City | SILVERDALE
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State | WA
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Zip | 98383-8145
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Country | US
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Telephone | 843-743-3225
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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 | PH60154434
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License Number State | WA
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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 | MN120241
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License Number State | MN
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