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General NPI Number Information
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NPI Number | 1336417856
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Entity Type | Individual
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Provider Name | MICHELLE T NGUYEN PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 8696 VINELAND AVE
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City | ORLANDO
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State | FL
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Zip | 32821-6400
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Country | US
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Telephone | 855-649-6979
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Fax | 339-329-6979
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Provider Business Mailing Address
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Address Line | 669 LITTLE WEKIVA RD
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-7306
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Country | US
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Telephone | 407-577-7182
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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 | PS48868
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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 | RP042290Y
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License Number State | PA
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