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General NPI Number Information
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NPI Number | 1225026735
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Entity Type | Individual
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Provider Name | GIA KHUE T NGUYEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 795 EL CAMINO REAL
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City | PALO ALTO
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State | CA
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Zip | 94301-2302
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Country | US
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Telephone | 650-853-5360
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Fax | 650-853-2923
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Provider Business Mailing Address
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Address Line | 206 SEACLIFF WAY
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City | POINT RICHMOND
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State | CA
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Zip | 94801-4156
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Country | US
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Telephone | 408-375-8100
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Fax | 658-853-2923
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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 | 55399
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License Number State | CA
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