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General NPI Number Information
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NPI Number | 1396468484
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Entity Type | Individual
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Provider Name | DANH RONALD NGUYEN
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Gender | Male
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Dates
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Enumeration Date | 09/22/2022
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 2828 PAA ST STE 2047
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City | HONOLULU
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State | HI
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Zip | 96819-4452
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Country | US
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Telephone | 808-469-9201
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Fax |
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Provider Business Mailing Address
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Address Line | 1429 KAUMOLI PL
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City | PEARL CITY
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State | HI
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Zip | 96782-1922
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Country | US
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Telephone |
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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 | PH-4833
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License Number State | HI
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