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General NPI Number Information
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NPI Number | 1649749326
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Entity Type | Individual
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Provider Name | VU BA HUY HA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/25/2018
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Last Update Date | 05/21/2019
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Provider Practice Location Address
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Address Line | 8441 WAYZATA BLVD STE 340
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City | GOLDEN VALLEY
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State | MN
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Zip | 55426-1372
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Country | US
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Telephone | 952-855-5596
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Fax |
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Provider Business Mailing Address
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Address Line | 195 5TH ST E APT 2001S
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City | SAINT PAUL
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State | MN
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Zip | 55101-1987
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Country | US
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Telephone | 714-932-4994
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 124080
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License Number State | MN
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