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1598585002 NPI number — JEREMY VUONG PHARMD

NPI Number: 1598585002
Health Care Provider/Practitioner: JEREMY VUONG PHARMD

Information about “1598585002” NPI (JEREMY VUONG PHARMD) exists in 1598585002 in HTML format HTML  |  1598585002 in plain Text format TXT  |  1598585002 in PDF (Portable Document Format) PDF  |  1598585002 in an XML format XML  formats.

NPI Number : 1598585002 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598585002",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VUONG",
    "FirstName": "JEREMY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "16 BEAVER WOODS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DURHAM",
    "MailingAddressStateName": "ME",
    "MailingAddressPostalCode": "04222-5491",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "207-841-6886",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "340 COUNTY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTBROOK",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04092-1901",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "207-662-1800",
    "PracticeLocationAddressFaxNumber": "207-661-7838",
    "EnumerationDate": "10/10/2024",
    "LastUpdateDate": "07/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "PR72023",
        "LicenseNumberStateCode": "ME",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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