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General NPI Number Information
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NPI Number | 1407088628
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Entity Type | Individual
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Provider Name | HOA H PHAM PHARM D
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Gender | Male
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Dates
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Enumeration Date | 08/21/2009
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 3307 BELT LINE RD
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City | GARLAND
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State | TX
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Zip | 75044-6913
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Country | US
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Telephone | 469-304-0062
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Fax | 469-304-0063
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Provider Business Mailing Address
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Address Line | 3307 BELT LINE RD STE 108
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City | GARLAND
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State | TX
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Zip | 75044-6913
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Country | US
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Telephone | 469-304-0062
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Fax | 469-356-1217
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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 | RP00007335
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License Number State | NM
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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 | 48351
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License Number State | TX
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