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General NPI Number Information
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NPI Number | 1265937494
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Entity Type | Individual
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Provider Name | LEE HUU NGUYEN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 24754 STEWARD STREET SHRYOCK HALL SCHOOL OF PHARMACY
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City | LOMA LINDA
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State | CA
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Zip | 92350-0001
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Country | US
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Telephone | 714-674-7738
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Fax |
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Provider Business Mailing Address
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Address Line | 24754 STEWARD STREET SHRYOCK HALL SCHOOL OF PHARMACY
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City | LOMA LINDA
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State | CA
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Zip | 92350-0001
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Country | US
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Telephone | 714-674-7738
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 10037
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License Number State | CA
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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 | 55631
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License Number State | CA
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