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General NPI Number Information
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NPI Number | 1467053157
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Entity Type | Individual
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Provider Name | THAO THANH BUIPHAM
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Gender | Female
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Dates
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Enumeration Date | 11/08/2020
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Last Update Date | 11/08/2020
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Provider Practice Location Address
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Address Line | 13750 I 10 E
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City | HOUSTON
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State | TX
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Zip | 77015-5929
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Country | US
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Telephone | 713-453-2316
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Fax | 713-453-5403
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Provider Business Mailing Address
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Address Line | 4923 STERLING XING
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City | PEARLAND
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State | TX
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Zip | 77584-9434
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Country | US
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Telephone | 281-617-8735
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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 | 57402
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License Number State | TX
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