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General NPI Number Information
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NPI Number | 1467798181
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Entity Type | Individual
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Provider Name | MR. TUAN A PHAM
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Gender | Male
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Dates
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Enumeration Date | 12/28/2012
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Last Update Date | 12/28/2012
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Provider Practice Location Address
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Address Line | 4101 GREENBRIAR ST. STE 235
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City | HOUSTON
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State | TX
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Zip | 77098
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Country | US
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Telephone | 713-521-1700
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Fax | 713-521-5855
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Provider Business Mailing Address
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Address Line | 4101 GREENBRIAR ST STE 235
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City | HOUSTON
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State | TX
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Zip | 77098-5294
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Country | US
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Telephone | 713-521-1700
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Fax | 713-521-5855
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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 | 41660
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License Number State | TX
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