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General NPI Number Information
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NPI Number | 1821468356
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Entity Type | Individual
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Provider Name | THANH VINH LY
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Gender | Male
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Dates
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Enumeration Date | 09/26/2015
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 1500 SAN PABLO ST
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City | LOS ANGELES
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State | CA
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Zip | 90033-5313
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Country | US
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Telephone | 855-885-2600
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Fax | 626-457-4195
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Provider Business Mailing Address
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Address Line | 4101 TORRANCE BLVD
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City | TORRANCE
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State | CA
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Zip | 90503-4607
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Country | US
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Telephone | 310-303-5358
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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 | 73307
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License Number State | CA
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