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General NPI Number Information
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NPI Number | 1659653236
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Entity Type | Individual
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Provider Name | MAI-ANH DANG PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 1010 REFUGEE RD
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City | PICKERINGTON
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State | OH
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Zip | 43147-9653
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Country | US
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Telephone | 614-788-4191
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Fax | 614-788-4199
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Provider Business Mailing Address
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Address Line | 8166 TRAIL LAKE DR
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City | POWELL
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State | OH
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Zip | 43065-8150
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Country | US
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Telephone | 513-720-0111
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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 | 03230442
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License Number State | OH
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