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General NPI Number Information
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NPI Number | 1730484916
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Entity Type | Individual
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Provider Name | YEN THI-PHI NGUYEN PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 01/19/2011
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Last Update Date | 01/19/2011
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Provider Practice Location Address
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Address Line | 921 NE 13TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5007
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Country | US
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Telephone | 405-456-3109
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Fax |
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Provider Business Mailing Address
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Address Line | 2618 GRASMERE ST
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City | GARLAND
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State | TX
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Zip | 75040-3270
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Country | US
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Telephone | 214-263-7788
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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 | R14654
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License Number State | OK
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