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General NPI Number Information
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NPI Number | 1477183523
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Entity Type | Individual
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Provider Name | KIM HOANG
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Gender | Female
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Dates
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Enumeration Date | 01/16/2020
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 8323 BROADWAY ST
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City | PEARLAND
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State | TX
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Zip | 77581-7766
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Country | US
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Telephone | 281-997-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 2151 MISTY HARBOR DR
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City | PEARLAND
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State | TX
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Zip | 77584-6757
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Country | US
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Telephone |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 36889
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License Number State | TX
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