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General NPI Number Information
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NPI Number | 1295867711
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Entity Type | Individual
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Provider Name | MRS. TAMMY-THUYET NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 03/10/2007
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Last Update Date | 07/29/2007
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Provider Practice Location Address
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Address Line | 5670 E 2ND ST
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City | LONG BEACH
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State | CA
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Zip | 90803-3904
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Country | US
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Telephone | 562-930-1280
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Fax | 562-930-1282
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Provider Business Mailing Address
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Address Line | 1575 AMBERLEAF
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City | COSTA MESA
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State | CA
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Zip | 92626-8000
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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 | 51086
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License Number State | CA
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