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General NPI Number Information
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NPI Number | 1326643248
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Entity Type | Individual
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Provider Name | ANN THI NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 680 N MCCARRAN BLVD
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City | SPARKS
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State | NV
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Zip | 89431-4600
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Country | US
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Telephone | 775-359-6808
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Fax |
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Provider Business Mailing Address
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Address Line | 680 N MCCARRAN BLVD
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City | SPARKS
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State | NV
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Zip | 89431-4600
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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 | 18280
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License Number State | NV
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