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General NPI Number Information
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NPI Number | 1588775977
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Entity Type | Individual
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Provider Name | TRINH T PHAM-T
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 143 PLEASANT RIDGE DR
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City | BELLE CHASSE
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State | LA
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Zip | 70037-4506
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Country | US
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Telephone | 504-495-9587
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Fax | 985-652-9136
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Provider Business Mailing Address
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Address Line | 143 PLEASANT RIDGE DR
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City | BELLE CHASSE
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State | LA
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Zip | 70037-4506
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Country | US
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Telephone | 504-495-9587
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Fax | 985-652-9136
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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 | 14793
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License Number State | LA
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