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General NPI Number Information
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NPI Number | 1508941022
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Entity Type | Individual
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Provider Name | VUONG Q NGUYEN PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 1777 W YOSEMITE AVE
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City | MANTECA
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State | CA
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Zip | 95337-5187
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Country | US
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Telephone | 209-406-9944
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Fax | 209-825-3617
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Provider Business Mailing Address
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Address Line | 1330 COMO DR
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City | MANTECA
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State | CA
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Zip | 95337-8471
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Country | US
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Telephone | 209-406-9944
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Fax | 209-825-3617
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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 | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | RPH 46719
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License Number State | CA
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