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General NPI Number Information
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NPI Number | 1669658803
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Entity Type | Individual
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Provider Name | CHRISTINE NGUYEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 14445 OLIVE VIEW DR # 1C101
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City | SYLMAR
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State | CA
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Zip | 91342-1437
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Country | US
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Telephone | 818-364-3059
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Fax |
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Provider Business Mailing Address
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Address Line | 644 N FULLER AVE # 395
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City | LOS ANGELES
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State | CA
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Zip | 90036-1939
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Country | US
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Telephone | 714-585-1369
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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 | 63987
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License Number State | CA
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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 | 20-051372
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License Number State | NY
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