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General NPI Number Information
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NPI Number | 1457448748
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Entity Type | Individual
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Provider Name | MINH XUAN NGUYEN PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1800 HARRISON ST 13TH FLOOR, 13W419
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City | OAKLAND
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State | CA
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Zip | 94612-3429
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Country | US
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Telephone | 510-432-0150
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Fax |
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Provider Business Mailing Address
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Address Line | 4209 OLIVER WAY
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City | UNION CITY
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State | CA
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Zip | 94587-5925
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Country | US
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Telephone | 510-432-0150
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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 | RPH050301
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License Number State | CA
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