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General NPI Number Information
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NPI Number | 1376433144
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Entity Type | Individual
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Provider Name | DUY THUONG NGUYEN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 1003 KOALA DR
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City | OMAK
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State | WA
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Zip | 98841-9247
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Country | US
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Telephone | 509-422-1913
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Fax |
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Provider Business Mailing Address
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Address Line | 203 2ND AVE S APT 205
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City | OKANOGAN
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State | WA
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Zip | 98840-9703
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Country | US
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Telephone | 845-546-0466
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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 | PHRM.PH.61647118
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License Number State | WA
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