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General NPI Number Information
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NPI Number | 1770185175
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Entity Type | Individual
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Provider Name | LOAN THIHONG NGUYEN RPH
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Gender | Female
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 1055 W HILL FIELD RD
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City | LAYTON
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State | UT
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Zip | 84041-4614
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Country | US
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Telephone | 801-444-6657
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Fax | 801-444-6659
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Provider Business Mailing Address
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Address Line | 1803 W NOBILITY CIR
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City | SALT LAKE CITY
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State | UT
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Zip | 84116-4711
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Country | US
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Telephone | 801-865-1038
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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 | 274707-1701
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License Number State | UT
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