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General NPI Number Information
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NPI Number | 1588934319
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Entity Type | Individual
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Provider Name | BRIAN QUY THAI PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 06/17/2022
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Provider Practice Location Address
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Address Line | 349 E MAIN ST STE 101
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City | ALHAMBRA
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State | CA
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Zip | 91801-7909
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Country | US
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Telephone | 626-755-4072
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Fax |
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Provider Business Mailing Address
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Address Line | 9553 MARSHALL ST
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City | ROSEMEAD
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State | CA
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Zip | 91770-2141
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Country | US
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Telephone | 626-282-8633
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Fax | 626-282-8655
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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 | RPH60005
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License Number State | CA
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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 | 60005
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License Number State | CA
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