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General NPI Number Information
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NPI Number | 1487839387
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Entity Type | Individual
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Provider Name | THUYTRANG NGUYEN PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 4502 43RD AVE
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City | SUNNYSIDE
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State | NY
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Zip | 11104-1902
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Country | US
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Telephone | 718-433-0940
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Fax |
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Provider Business Mailing Address
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Address Line | 5810 187TH ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-2229
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Country | US
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Telephone | 718-357-8945
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Fax | 718-357-8945
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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 | 050942
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI02984100
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License Number State | NJ
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