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General NPI Number Information
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NPI Number | 1598585002
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Entity Type | Individual
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Provider Name | JEREMY VUONG PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 340 COUNTY RD
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City | WESTBROOK
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State | ME
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Zip | 04092-1901
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Country | US
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Telephone | 207-662-1800
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Fax | 207-661-7838
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Provider Business Mailing Address
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Address Line | 16 BEAVER WOODS DR
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City | DURHAM
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State | ME
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Zip | 04222-5491
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Country | US
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Telephone | 207-841-6886
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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 | PR72023
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License Number State | ME
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