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General NPI Number Information
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NPI Number | 1508299249
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Entity Type | Individual
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Provider Name | THANH HIEN THI WANG PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 08/16/2013
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Last Update Date | 03/03/2020
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Provider Practice Location Address
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Address Line | 1040 NW 22ND AVE STE 420
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City | PORTLAND
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State | OR
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Zip | 97210-3062
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Country | US
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Telephone | 503-406-3809
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Fax |
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Provider Business Mailing Address
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Address Line | 1040 NW 22ND AVE STE 420
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City | PORTLAND
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State | OR
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Zip | 97210-3062
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Country | US
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Telephone | 503-406-3809
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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 | PD14044
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License Number State | AR
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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 | PH-3984
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1-105105
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH236427
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302044409
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 58312
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH0323
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License Number State | GU
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Taxonomy #8
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | R-16582
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License Number State | OK
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Taxonomy #9
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19109
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License Number State | AL
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Taxonomy #10
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15203
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License Number State | NE
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Taxonomy #11
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051299275
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License Number State | IL
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Taxonomy #12
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | A1-0004894
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License Number State | DE
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Taxonomy #13
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P7416
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License Number State | ID
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Taxonomy #14
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0013698
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License Number State | OR
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