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General NPI Number Information
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NPI Number | 1306439062
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Entity Type | Individual
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Provider Name | JAMES VU NGUYEN PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 02/14/2021
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Last Update Date | 02/14/2021
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Provider Practice Location Address
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Address Line | 39142 NATCHEZ DR
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City | SLIDELL
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State | LA
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Zip | 70461-2142
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Country | US
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Telephone | 985-649-2687
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Fax |
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Provider Business Mailing Address
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Address Line | 13950 TUDO DR
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City | NEW ORLEANS
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State | LA
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Zip | 70129-1061
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Country | US
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Telephone | 504-758-9199
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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 | PST.023761
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License Number State | LA
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