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General NPI Number Information
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NPI Number | 1740081348
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Entity Type | Individual
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Provider Name | TRANGCHAU KIM NGUYEN PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 6770 MACON RD
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City | MEMPHIS
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State | TN
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Zip | 38134-7542
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Country | US
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Telephone | 901-371-0255
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Fax | 901-371-9604
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Provider Business Mailing Address
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Address Line | 10045 GOSLING CIR N APT 203
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City | CORDOVA
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State | TN
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Zip | 38016-1791
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Country | US
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Telephone | 832-576-2392
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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 | 46946
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License Number State | TN
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