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General NPI Number Information
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NPI Number | 1447618988
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Entity Type | Individual
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Provider Name | LINH HOANG NGUYEN RPH,PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/28/2016
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Last Update Date | 01/28/2016
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Provider Practice Location Address
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Address Line | 1733 E PASS RD
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City | GULFPORT
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State | MS
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Zip | 39507-3529
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Country | US
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Telephone | 228-284-6990
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Fax | 228-284-6989
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Provider Business Mailing Address
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Address Line | 1733 E PASS RD
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City | GULFPORT
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State | MS
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Zip | 39507-3529
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Country | US
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Telephone | 228-284-6990
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Fax | 228-284-6989
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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 | E-14012
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License Number State | MS
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