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General NPI Number Information
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NPI Number | 1568645307
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Entity Type | Individual
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Provider Name | BICHTUYEN THI NGUYEN PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 12/16/2007
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Last Update Date | 08/09/2010
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Provider Practice Location Address
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Address Line | 109-07 101 ST AVE PHARMACY DEPARTMENT
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City | JAMAICA
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State | NY
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Zip | 11419-2114
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Country | US
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Telephone | 718-441-9311
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Fax | 718-441-6211
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Provider Business Mailing Address
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Address Line | 5810 187TH ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-2229
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Country | US
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Telephone | 718-357-8945
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Fax | 718-357-8945
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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 | 047268
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License Number State | NY
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