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NPI 1801652698

NPI 1801652698 : LINH NGUYEN RPH : CARROLLTON, TX

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General NPI Number Information
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    NPI Number           |    1801652698
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    Entity Type          |    Individual 
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    Provider Name        |    LINH NGUYEN RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/28/2024
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    Last Update Date     |    02/28/2024
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Provider Practice Location Address
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    Address Line         |    1025 W TRINITY MILLS RD 
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    City                 |    CARROLLTON
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    State                |    TX
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    Zip                  |    75006-1375
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    Country              |    US
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    Telephone            |    800-273-3455
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    Fax                  |    800-406-8976
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Provider Business Mailing Address
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    Address Line         |    2052 STERLING TRACE DR 
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    City                 |    KELLER
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    State                |    TX
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    Zip                  |    76248-9739
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    Country              |    US
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    Telephone            |    972-523-8647
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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       |    39844
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    License Number State |    TX
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