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General NPI Number Information
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NPI Number | 1174517197
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Entity Type | Individual
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Provider Name | ANH PHAN PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8401 CHESTNUT AVE
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City | BOWIE
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State | MD
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Zip | 20715-4527
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Country | US
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Telephone | 301-464-4605
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Fax | 301-464-4605
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Provider Business Mailing Address
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Address Line | 8401 CHESTNUT AVE
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City | BOWIE
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State | MD
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Zip | 20715-4527
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Country | US
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Telephone | 301-464-4605
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Fax | 301-464-4605
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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 | 16114
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1835N1003X
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Taxonomy Name | Nutrition Support Pharmacist
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License Number | 16114
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 16114
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License Number State | MD
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