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General NPI Number Information
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NPI Number | 1154943074
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Entity Type | Individual
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Provider Name | DIANA NGUYEN PHARMD, RPH
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Gender | Female
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Dates
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Enumeration Date | 05/13/2020
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 151 N STATE ST
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City | CHICAGO
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State | IL
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Zip | 60601-3601
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Country | US
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Telephone | 312-863-4249
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Fax |
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Provider Business Mailing Address
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Address Line | 408 S WHISPERING HILLS DR
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City | NAPERVILLE
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State | IL
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Zip | 60540-5017
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Country | US
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Telephone | 847-630-3887
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 049.238327
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 049238327
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051306756
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License Number State | IL
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