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General NPI Number Information
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NPI Number | 1285141580
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Entity Type | Individual
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Provider Name | DUC XUAN NGUYEN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/08/2018
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Last Update Date | 01/08/2018
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Provider Practice Location Address
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Address Line | 6025 JEAN RD
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-5307
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Country | US
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Telephone | 503-303-7373
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Fax |
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Provider Business Mailing Address
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Address Line | 16446 NE RUSSELL ST
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City | PORTLAND
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State | OR
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Zip | 97230-5547
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Country | US
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Telephone |
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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 | RPH-0014387
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License Number State | OR
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