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General NPI Number Information
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NPI Number | 1548693302
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Entity Type | Individual
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Provider Name | QUYEN VAN HO PHARM D
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Gender | Male
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Dates
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Enumeration Date | 08/15/2013
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Last Update Date | 08/15/2013
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Provider Practice Location Address
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Address Line | 8052 WESTMINSTER BLVD
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City | WESTMINSTER
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State | CA
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Zip | 92683-3303
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Country | US
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Telephone | 714-896-9589
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Fax |
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Provider Business Mailing Address
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Address Line | 3561 PINE ST
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City | IRVINE
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State | CA
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Zip | 92606-2617
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Country | US
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Telephone | 949-394-4423
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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 | 66125
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License Number State | CA
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