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General NPI Number Information
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NPI Number | 1740881119
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Entity Type | Individual
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Provider Name | UYEN PHUONG HOANG
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Gender | Female
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Dates
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Enumeration Date | 11/03/2020
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | 6000 BURKE COMMONS RD
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City | BURKE
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State | VA
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Zip | 22015-2805
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Country | US
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Telephone | 703-250-9282
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Fax | 703-250-9287
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Provider Business Mailing Address
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Address Line | 3607 HUMMER RD
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City | ANNANDALE
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State | VA
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Zip | 22003-1502
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Country | US
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Telephone | 571-294-6431
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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 | 0202205586
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License Number State | VA
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