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General NPI Number Information
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NPI Number | 1538776133
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Entity Type | Individual
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Provider Name | ROSIE NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 09/28/2020
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 43418 STATE HIGHWAY 74
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City | HEMET
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State | CA
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Zip | 92544-5219
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Country | US
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Telephone | 951-927-2584
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Fax |
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Provider Business Mailing Address
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Address Line | 27472 RED ROCK RD
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City | MORENO VALLEY
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State | CA
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Zip | 92555-4572
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Country | US
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Telephone | 714-580-4474
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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 | 80013
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License Number State | CA
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