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General NPI Number Information
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NPI Number | 1720364839
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Entity Type | Individual
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Provider Name | JOHN THANH NGUYEN PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 11/02/2011
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Last Update Date | 02/25/2015
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Provider Practice Location Address
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Address Line | 9602 ROCKAWAY BLVD
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City | OZONE PARK
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State | NY
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Zip | 11417-1613
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Country | US
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Telephone | 178-848-2334
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Fax |
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Provider Business Mailing Address
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Address Line | 5551 S LEO ST
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City | SEATTLE
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State | WA
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Zip | 98178-2262
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Country | US
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Telephone |
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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 | PH60233973
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License Number State | WA
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