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General NPI Number Information
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NPI Number | 1619647286
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Entity Type | Individual
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Provider Name | ANH NGUYEN HO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 09/15/2021
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Provider Practice Location Address
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Address Line | 309 E 2ND ST
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City | POMONA
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State | CA
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Zip | 91766-1854
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Country | US
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Telephone | 909-469-8339
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Fax |
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Provider Business Mailing Address
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Address Line | 6216 GAMAY CT
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91737-6933
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Country | US
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Telephone | 424-333-8898
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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 | 0018160
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License Number State | OR
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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 | 84142
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License Number State | CA
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