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General NPI Number Information
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NPI Number | 1669315313
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Entity Type | Individual
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Provider Name | KHANH NGUYEN PHI MANH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 2831 E PRESIDENT GEORGE BUSH HWY
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City | RICHARDSON
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State | TX
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Zip | 75082-3561
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Country | US
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Telephone | 469-204-0200
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Fax | 469-204-0216
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Provider Business Mailing Address
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Address Line | 1001 EAGLE GLEN DR
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City | WYLIE
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State | TX
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Zip | 75098-0976
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Country | US
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Telephone | 248-252-1564
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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 | 62290
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License Number State | TX
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