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General NPI Number Information
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NPI Number | 1386418499
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Entity Type | Individual
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Provider Name | TUONG NHAT NGUYEN RPH
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Gender | Male
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 500 MARKETPLACE BLVD
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City | FORNEY
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State | TX
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Zip | 75126-6740
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Country | US
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Telephone | 972-564-8490
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Fax |
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Provider Business Mailing Address
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Address Line | 300 TRAILHOUSE LN APT 1311
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City | FORNEY
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State | TX
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Zip | 75126-3160
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Country | US
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Telephone | 713-425-9871
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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 | 72566
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License Number State | TX
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