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General NPI Number Information
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NPI Number | 1306220389
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Entity Type | Individual
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Provider Name | THU KY NGUYEN RPH
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Gender | Female
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Dates
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Enumeration Date | 07/19/2015
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Last Update Date | 07/19/2015
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Provider Practice Location Address
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Address Line | 3160 CORPORATE PL
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City | HAYWARD
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State | CA
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Zip | 94545-3916
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Country | US
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Telephone | 510-732-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 2578 NORTHWOOD DR
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City | SAN JOSE
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State | CA
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Zip | 95132-1032
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Country | US
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Telephone | 408-726-2815
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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 | 71039
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License Number State | CA
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