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General NPI Number Information
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NPI Number | 1346555497
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Entity Type | Individual
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Provider Name | KIMTHU THI HUYNH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 08/13/2010
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Provider Practice Location Address
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Address Line | 4020 FLORIN RD
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City | SACRAMENTO
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State | CA
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Zip | 95823-1804
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Country | US
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Telephone | 916-421-6486
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Fax |
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Provider Business Mailing Address
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Address Line | 7110 DANBERG WAY
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City | ELK GROVE
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State | CA
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Zip | 95757-4008
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Country | US
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Telephone | 916-686-1239
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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 | RPH54925
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License Number State | CA
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