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General NPI Number Information
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NPI Number | 1336610039
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Entity Type | Individual
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Provider Name | HAN NGOC NGUYEN RPH
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Gender | Female
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Dates
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Enumeration Date | 12/07/2018
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 12506 HIGHWAY 73
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City | GEISMAR
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State | LA
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Zip | 70734-3209
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Country | US
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Telephone | 225-677-7607
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Fax | 225-677-7608
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Provider Business Mailing Address
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Address Line | 12506 HIGHWAY 73
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City | GEISMAR
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State | LA
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Zip | 70734-3209
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Country | US
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Telephone | 225-677-7607
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Fax | 225-677-7608
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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 | 022771
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License Number State | LA
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