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General NPI Number Information
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NPI Number | 1740160217
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Entity Type | Individual
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Provider Name | GIANG THI VIET ANDERSON
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Gender | Female
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 1500 S SHERMAN BLVD
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City | MUSKEGON
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State | MI
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Zip | 49444
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Country | US
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Telephone | 503-473-5508
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Fax |
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Provider Business Mailing Address
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Address Line | 6912 WILLOW CREEK DR
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City | CANTON
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State | MI
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Zip | 48187-3010
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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 | 5302418011
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License Number State | MI
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