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General NPI Number Information
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NPI Number | 1760750988
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Entity Type | Individual
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Provider Name | MINHHIEU NGUYEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/02/2011
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 43776 MAISON BLANC SQUARE
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City | ASHBURN
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State | VA
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Zip | 20148
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Country | US
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Telephone | 703-581-3788
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Fax |
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Provider Business Mailing Address
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Address Line | 43776 MAISON BLANC SQ
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City | ASHBURN
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State | VA
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Zip | 20148-3100
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Country | US
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Telephone | 703-581-3788
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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 | 0202209479
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License Number State | VA
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