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General NPI Number Information
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NPI Number | 1528605466
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Entity Type | Individual
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Provider Name | KOBI NGUYEN
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Gender | Male
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Dates
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Enumeration Date | 12/10/2019
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 7211 FEDERAL BLVD
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City | WESTMINSTER
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State | CO
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Zip | 80030-4901
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Country | US
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Telephone | 303-931-3787
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Fax |
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Provider Business Mailing Address
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Address Line | 10700 KIMBLEWYCK CIR UNIT 201
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City | NORTHGLENN
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State | CO
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Zip | 80233-6126
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Country | US
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Telephone | 303-931-3787
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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 | 4129
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License Number State | WY
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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 | 22615
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License Number State | CO
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