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General NPI Number Information
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NPI Number | 1720307069
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Entity Type | Individual
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Provider Name | HANH DUY PHAM RPH
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Gender | Male
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Dates
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Enumeration Date | 05/26/2010
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Last Update Date | 05/26/2010
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Provider Practice Location Address
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Address Line | 5545 STEARNS STREET
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City | LONG BEACH
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State | CA
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Zip | 90815
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Country | US
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Telephone | 562-596-8690
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Fax |
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Provider Business Mailing Address
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Address Line | 6861 SUNVIEW DRIVE
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647
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Country | US
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Telephone | 714-892-0191
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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 | 52538
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License Number State | CA
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