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General NPI Number Information
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NPI Number | 1326644295
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Entity Type | Individual
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Provider Name | TRANG THU NGUYEN PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 12/07/2020
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 700 W SEMINARY DR
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City | FORT WORTH
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State | TX
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Zip | 76115-1340
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Country | US
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Telephone | 817-926-2661
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Fax |
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Provider Business Mailing Address
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Address Line | 629 GIN LAKE TRL
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City | FORT WORTH
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State | TX
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Zip | 76120-2032
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Country | US
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Telephone | 682-702-0742
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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 | 65723
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License Number State | TX
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