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General NPI Number Information
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NPI Number | 1184139925
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Entity Type | Individual
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Provider Name | EMILY THI PHUONG DANG PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/01/2017
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Last Update Date | 12/01/2017
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Provider Practice Location Address
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Address Line | 112 CARROLL ISLAND RD
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City | BALTIMORE
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State | MD
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Zip | 21220-2208
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Country | US
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Telephone | 410-335-1135
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WALDON RD APT B
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City | ABINGDON
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State | MD
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Zip | 21009-2110
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 25283
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License Number State | MD
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