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General NPI Number Information
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NPI Number | 1255648333
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Entity Type | Individual
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Provider Name | THUAN BINH PHAM PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2010
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 1221 S MISSION RD
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City | FALLBROOK
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State | CA
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Zip | 92028-4005
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Country | US
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Telephone | 760-728-6063
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Fax | 760-726-0387
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Provider Business Mailing Address
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Address Line | 1221 CLOS DUVAL
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City | BONSALL
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State | CA
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Zip | 92003-6114
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Country | US
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Telephone | 760-941-4094
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Fax | 760-728-0387
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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 | RPH42030
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License Number State | CA
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