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General NPI Number Information
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NPI Number | 1316284995
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Entity Type | Individual
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Provider Name | THIEN HUYNH PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 01/15/2013
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Last Update Date | 10/18/2019
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Provider Practice Location Address
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Address Line | 2601 E STATE HIGHWAY 114
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6668
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Country | US
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Telephone | 817-749-2802
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 E STATE HIGHWAY 114
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6668
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Country | US
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Telephone | 817-749-2802
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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 | PS45526
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH60101813
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 63993
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License Number State | TX
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