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General NPI Number Information
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NPI Number | 1629679758
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Entity Type | Individual
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Provider Name | EDWIN NG PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 930 N WALNUT CREEK DR
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City | MANSFIELD
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State | TX
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Zip | 76063-1596
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Country | US
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Telephone | 817-473-3014
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Fax |
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Provider Business Mailing Address
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Address Line | 14281 SOWELL DR
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City | FRISCO
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State | TX
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Zip | 75035-0600
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Country | US
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Telephone | 832-607-6802
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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 | 62879
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License Number State | TX
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