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General NPI Number Information
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NPI Number | 1356867642
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Entity Type | Individual
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Provider Name | CHILINH CHRIS NGUYEN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 08/17/2017
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Provider Practice Location Address
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Address Line | 218 CHESTNUT ST
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City | COSHOCTON
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State | OH
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Zip | 43812-1131
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Country | US
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Telephone | 740-622-7284
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Fax |
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Provider Business Mailing Address
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Address Line | 566 S 3RD ST APT 6F
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City | COSHOCTON
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State | OH
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Zip | 43812-2015
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Country | US
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Telephone | 978-337-7363
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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 | RP0010096
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License Number State | WV
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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 | 03236565
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License Number State | OH
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