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General NPI Number Information
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NPI Number | 1831527159
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Entity Type | Individual
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Provider Name | THOAI NGUYEN RPH
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Gender | Female
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Dates
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Enumeration Date | 10/23/2013
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 6720 NE 84TH ST
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City | VANCOUVER
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State | WA
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Zip | 98665-2016
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Country | US
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Telephone | 360-828-2289
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Fax | 360-828-2286
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Provider Business Mailing Address
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Address Line | 1735 NW HANCOCK DR
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City | CAMAS
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State | WA
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Zip | 98607-7787
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Country | US
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Telephone | 503-915-8450
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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 | RPH0013767
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License Number State | OR
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