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General NPI Number Information
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NPI Number | 1386101616
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Entity Type | Individual
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Provider Name | LAURA LAM HOANG RPH
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Gender | Female
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 02/22/2019
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Provider Practice Location Address
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Address Line | 4020 BEL AIRE PLZ
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City | NAPA
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State | CA
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Zip | 94558-2835
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Country | US
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Telephone | 707-253-0975
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Fax |
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Provider Business Mailing Address
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Address Line | 1731 APPLE DR
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City | CONCORD
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State | CA
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Zip | 94518-3106
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Country | US
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Telephone | 408-582-3488
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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 | 80247
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License Number State | CA
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