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General NPI Number Information
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NPI Number | 1831468875
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Entity Type | Individual
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Provider Name | MINHPHAT NGOC NGUYEN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 12/20/2011
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Provider Practice Location Address
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Address Line | 909 17TH ST
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City | ANACORTES
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State | WA
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Zip | 98221-2379
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Country | US
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Telephone | 360-299-2816
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Fax |
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Provider Business Mailing Address
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Address Line | 909 135TH ST SW
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City | EVERETT
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State | WA
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Zip | 98204-7346
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Country | US
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Telephone | 425-232-5345
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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 | PH60236522
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License Number State | WA
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