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General NPI Number Information
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NPI Number | 1366266322
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Entity Type | Individual
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Provider Name | KIEU-MY HUYNH
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Gender | Female
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 217 ALMA ST STE 200
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City | PALO ALTO
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State | CA
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Zip | 94301-1017
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Country | US
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Telephone | 650-326-3876
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Fax |
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Provider Business Mailing Address
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Address Line | 400 EL CAMINO REAL UNIT 419
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City | BELMONT
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State | CA
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Zip | 94002-2176
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Country | US
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Telephone | 415-361-8103
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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 | 90453
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License Number State | CA
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