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General NPI Number Information
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NPI Number | 1588269328
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Entity Type | Individual
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Provider Name | NANCY NGO
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Gender | Female
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Dates
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Enumeration Date | 12/01/2020
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 10306 FERGUSON RD
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City | DALLAS
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State | TX
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Zip | 75228-3015
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Country | US
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Telephone | 214-328-4391
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Fax |
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Provider Business Mailing Address
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Address Line | 537 HILLTOP DR
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City | MURPHY
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State | TX
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Zip | 75094-5345
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Country | US
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Telephone | 469-766-2218
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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 | 61144
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License Number State | TX
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