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General NPI Number Information
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NPI Number | 1275861700
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Entity Type | Individual
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Provider Name | SON THANH NGUYEN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 580 COMMERCE ST STE 150
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City | SOUTHLAKE
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State | TX
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Zip | 76092-9155
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Country | US
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Telephone | 888-562-8080
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Fax | 512-298-3651
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Provider Business Mailing Address
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Address Line | 3033 W PRESIDENT GEORGE BUSH HWY STE 100B
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City | PLANO
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State | TX
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Zip | 75075-5752
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Country | US
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Telephone | 833-862-4559
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Fax | 855-862-4373
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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 | 44566
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License Number State | TX
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