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General NPI Number Information
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NPI Number | 1366760811
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Entity Type | Organization
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Legal Business Name | CYFAIR PHARMACY
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Dates
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Enumeration Date | 05/07/2010
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Last Update Date | 05/07/2010
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Provider Practice Location Address
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Address Line | 16506 FM 529 RD # 108
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City | HOUSTON
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State | TX
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Zip | 77095-1462
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Country | US
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Telephone | 281-550-0123
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Fax | 281-550-1001
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Provider Business Mailing Address
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Address Line | 16506 FM 529 RD # 108
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City | HOUSTON
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State | TX
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Zip | 77095-1462
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Country | US
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Telephone | 281-550-0123
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Fax | 281-550-1001
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAO ANH NGUYEN
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Credential |
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Telephone | 281-550-0123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 26917
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License Number State | TX
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