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General NPI Number Information
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NPI Number | 1356013601
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Entity Type | Individual
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Provider Name | JUDY HUYNH RPH
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Gender | Female
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 984 WORCESTER ST
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City | WELLESLEY
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State | MA
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Zip | 02482-3709
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Country | US
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Telephone | 781-235-3555
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Fax |
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Provider Business Mailing Address
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Address Line | 153 KOTLIK ST
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City | STOUGHTON
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State | MA
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Zip | 02072-2771
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Country | US
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Telephone | 279-900-6776
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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 | RPH85170
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License Number State | CA
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