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General NPI Number Information
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NPI Number | 1477998698
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Entity Type | Individual
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Provider Name | THINH NGUYEN PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 440 BLOSSOM HILL RD
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City | SAN JOSE
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State | CA
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Zip | 95123-1608
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Country | US
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Telephone | 408-229-8013
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Fax |
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Provider Business Mailing Address
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Address Line | 305 COUNTRY VIEW LN APT. C
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City | PLEASANT HILL
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State | CA
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Zip | 94523-1154
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Country | US
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Telephone | 510-225-8937
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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 | 67647
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License Number State | CA
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