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General NPI Number Information
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NPI Number | 1386292811
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Entity Type | Individual
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Provider Name | FELICIA NGUYEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/28/2019
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Last Update Date | 08/28/2021
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Provider Practice Location Address
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Address Line | 6500 GEORGE WASHINGTON MEM HWY STE C
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City | GRAFTON
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State | VA
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Zip | 23692-2128
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Country | US
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Telephone | 757-947-1244
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Fax |
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Provider Business Mailing Address
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Address Line | 322 RICHTER LN
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City | YORKTOWN
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State | VA
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Zip | 23693-2647
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Country | US
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Telephone | 757-509-0281
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number | 0203016614
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License Number State | VA
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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 | 0202218345
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License Number State | VA
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