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General NPI Number Information
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NPI Number | 1457220501
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Entity Type | Individual
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Provider Name | KHUE NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 6701 RIDGE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19128-2459
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Country | US
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Telephone | 215-483-4179
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Fax |
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Provider Business Mailing Address
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Address Line | 2207 S 23RD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19145-3321
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Country | US
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Telephone | 267-902-9525
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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 | RP459981
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License Number State | PA
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