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General NPI Number Information
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NPI Number | 1184791626
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Entity Type | Individual
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Provider Name | VAN LUONG PHARM D
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7120 HAYVENHURST AVE STE 201
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City | VAN NUYS
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State | CA
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Zip | 91406-3813
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Country | US
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Telephone | 818-786-3110
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Fax | 818-786-3150
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Provider Business Mailing Address
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Address Line | 28353 MIRABELLE LN
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City | SANTA CLARITA
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State | CA
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Zip | 91350-3238
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Country | US
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Telephone | 661-296-2768
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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 | RPH 57532
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License Number State | CA
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