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General NPI Number Information
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NPI Number | 1770067969
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Entity Type | Individual
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Provider Name | JULIEN VAN NGUYEN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/24/2018
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Last Update Date | 09/24/2018
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Provider Practice Location Address
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Address Line | 810 ELM ST E
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City | HAMPTON
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State | SC
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Zip | 29924-2610
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Country | US
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Telephone | 803-914-0318
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Fax | 803-914-0311
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Provider Business Mailing Address
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Address Line | 10107 TENNYSON LN
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City | SAVANNAH
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State | GA
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Zip | 31405-0350
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Country | US
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Telephone | 843-902-4717
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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 | 37808
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License Number State | SC
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