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General NPI Number Information
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NPI Number | 1285271353
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Entity Type | Individual
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Provider Name | TAMMY THAO NGUYEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/07/2019
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 4776 EL CAJON BLVD STE 105
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City | SAN DIEGO
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State | CA
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Zip | 92115-4521
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Country | US
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Telephone | 619-278-1207
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Fax |
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Provider Business Mailing Address
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Address Line | 4059 VISTA GRANDE DR
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City | SAN DIEGO
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State | CA
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Zip | 92115-6816
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Country | US
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Telephone | 619-287-1206
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Fax | 619-287-8975
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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 | 80971
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License Number State | CA
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