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General NPI Number Information
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NPI Number | 1588107338
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Entity Type | Individual
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Provider Name | NGHIA HOANG
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Gender | Male
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 1410 NE CAMPUS PKWY
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City | SEATTLE
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State | WA
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Zip | 98195-7630
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Country | US
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Telephone | 206-543-6788
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Fax |
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Provider Business Mailing Address
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Address Line | 16405 27TH STREET CT E
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City | LAKE TAPPS
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State | WA
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Zip | 98391-9678
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Country | US
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Telephone | 206-349-2098
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | IR60602871
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License Number State | WA
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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 | PH61100246
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License Number State | WA
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