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General NPI Number Information
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NPI Number | 1720791262
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Entity Type | Individual
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Provider Name | HENRY DANG
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Gender | Male
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Dates
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Enumeration Date | 12/29/2022
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Last Update Date | 12/29/2022
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Provider Practice Location Address
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Address Line | 1900 DAVIS ST
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City | SAN LEANDRO
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State | CA
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Zip | 94577-1209
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Country | US
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Telephone | 510-562-6815
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Fax |
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Provider Business Mailing Address
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Address Line | 134 GROVE WAY
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City | HAYWARD
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State | CA
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Zip | 94541-2433
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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 | 87564
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License Number State | CA
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