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General NPI Number Information
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NPI Number | 1265045835
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Entity Type | Individual
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Provider Name | TRAM THI NGUYEN PHARM. D
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Gender | Female
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 1801 HOWELL MILL RD NW
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City | ATLANTA
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State | GA
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Zip | 30318-0911
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Country | US
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Telephone | 404-352-5229
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Fax |
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Provider Business Mailing Address
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Address Line | 1266 MOORES MILL RD NW
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City | ATLANTA
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State | GA
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Zip | 30327-1430
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Country | US
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Telephone | 404-455-9983
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RPH027926
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH027926
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License Number State | GA
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