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General NPI Number Information
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NPI Number | 1265917058
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Entity Type | Individual
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Provider Name | PETER HOANG PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 09/27/2018
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Provider Practice Location Address
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Address Line | 13651 WILLARD STREET
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City | PANORAMA CITY
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State | CA
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Zip | 91402
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Country | US
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Telephone | 818-375-2873
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 W COMMONWEALTH AVE APT A
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City | ALHAMBRA
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State | CA
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Zip | 91803-1747
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Country | US
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Telephone | 626-616-2996
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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 | 78732
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License Number State | CA
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