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General NPI Number Information
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NPI Number | 1174493068
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Entity Type | Individual
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Provider Name | MARLENE NGUYEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 200 HENRY CLAY AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70118-5720
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Country | US
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Telephone | 504-899-9511
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Fax |
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Provider Business Mailing Address
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Address Line | 437 CARMARGUE LN
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City | BILOXI
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State | MS
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Zip | 39531-2219
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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 | 1835P0200X
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Taxonomy Name | Pediatric Pharmacist
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License Number | PST.025943
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License Number State | LA
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