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NPI 1437608403

NPI 1437608403 : HENRY NG RPH : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1437608403
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    Entity Type          |    Individual 
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    Provider Name        |    HENRY NG RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/30/2016
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    Last Update Date     |    11/22/2021
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Provider Practice Location Address
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    Address Line         |    2025 MORSE AVE 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95825-2115
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    Country              |    US
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    Telephone            |    916-973-5000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8167 DERBYSHIRE CIR 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95828-5551
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    Country              |    US
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    Telephone            |    415-710-8034
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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       |    75005
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    License Number State |    CA
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