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General NPI Number Information
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NPI Number | 1740952274
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Entity Type | Individual
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Provider Name | NGOC-LINH YEN NGUYEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 3350 LA JOLLA VILLAGE DR
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City | SAN DIEGO
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State | CA
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Zip | 92161-4400
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Country | US
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Telephone | 858-552-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 8847 SPECTRUM CENTER BLVD APT 6114
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City | SAN DIEGO
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State | CA
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Zip | 92123-1469
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Country | US
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Telephone | 714-468-2254
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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 | P9717
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License Number State | ID
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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 | 86034
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License Number State | CA
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