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General NPI Number Information
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NPI Number | 1689961823
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Entity Type | Individual
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Provider Name | LIEM NGUYEN PHARM D.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2011
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 4760 STATE HIGHWAY 121 T-2520
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City | LEWISVILLE
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State | TX
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Zip | 75056-2913
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Country | US
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Telephone | 469-287-0347
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Fax |
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Provider Business Mailing Address
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Address Line | 101 PARKLANE BLVD STE 103
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City | SUGAR LAND
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State | TX
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Zip | 77478-5521
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Country | US
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Telephone | 832-380-4400
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Fax | 832-202-1304
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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 | 47620
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License Number State | TX
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