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General NPI Number Information
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NPI Number | 1598859613
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Entity Type | Individual
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Provider Name | QUANG MINH NGUYEN PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 109 VIENNA DR
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City | MILPITAS
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State | CA
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Zip | 95035-3144
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Country | US
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Telephone | 408-768-5999
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Fax |
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Provider Business Mailing Address
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Address Line | 3451 SAGEWOOD LN
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City | SAN JOSE
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State | CA
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Zip | 95132-1352
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Country | US
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Telephone |
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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 | 51721
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License Number State | CA
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