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General NPI Number Information
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NPI Number | 1740276195
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Entity Type | Individual
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Provider Name | BAY VAN NGUYEN RPH
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Gender | Male
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 07/18/2017
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Provider Practice Location Address
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Address Line | 1661 BURDETTE DR STE AB
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City | SAN JOSE
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State | CA
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Zip | 95121-1665
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Country | US
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Telephone | 408-223-0180
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Fax | 408-223-2366
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Provider Business Mailing Address
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Address Line | 1661 BURDETTE DR STE AB
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City | SAN JOSE
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State | CA
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Zip | 95121-1665
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Country | US
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Telephone | 408-223-0180
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Fax | 408-223-2366
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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 | PHY43751
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH38728
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License Number State | CA
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