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General NPI Number Information
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NPI Number | 1780159236
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Entity Type | Individual
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Provider Name | ANH THUC NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 10/11/2018
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Last Update Date | 10/11/2018
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Provider Practice Location Address
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Address Line | 1313 FRY RD
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City | KATY
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State | TX
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Zip | 77449-3399
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Country | US
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Telephone | 281-578-1123
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Fax | 281-578-0259
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Provider Business Mailing Address
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Address Line | 5806 MALCOMBORO DR
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City | HOUSTON
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State | TX
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Zip | 77041-6584
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Country | US
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Telephone | 504-994-4608
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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 | 47667
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License Number State | TX
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