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General NPI Number Information
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NPI Number | 1811412463
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Entity Type | Individual
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Provider Name | HENRY NGUYEN
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Gender | Male
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 08/04/2017
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Provider Practice Location Address
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Address Line | 10815 BEECHNUT ST STE 125
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City | HOUSTON
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State | TX
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Zip | 77072-4491
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Country | US
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Telephone | 832-850-7373
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1163
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City | SUGAR LAND
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State | TX
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Zip | 77487-1163
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Country | US
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Telephone | 832-461-5131
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 31506
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License Number State | TX
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