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General NPI Number Information
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NPI Number | 1154915049
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Entity Type | Individual
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Provider Name | NGA NGOC NGUYEN R.PH
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Gender | Female
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Dates
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Enumeration Date | 02/22/2021
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Last Update Date | 02/22/2021
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Provider Practice Location Address
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Address Line | 26824 FM 1093 RD
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City | RICHMOND
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State | TX
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Zip | 77406-1710
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Country | US
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Telephone | 346-307-8691
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Fax |
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Provider Business Mailing Address
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Address Line | 12803 LODENBRIAR DR
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City | HOUSTON
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State | TX
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Zip | 77072-2480
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Country | US
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Telephone | 713-213-8342
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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 | 68151
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License Number State | TX
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