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General NPI Number Information
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NPI Number | 1427602622
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Entity Type | Individual
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Provider Name | DANH THANH DINH PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/26/2019
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Last Update Date | 07/26/2019
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Provider Practice Location Address
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Address Line | 2521 S 6TH ST
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-4343
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Country | US
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Telephone | 541-883-2210
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Fax |
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Provider Business Mailing Address
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Address Line | 345 N 5TH ST APT 65
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-3070
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Country | US
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Telephone | 714-306-2018
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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 | 0017033
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License Number State | OR
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