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General NPI Number Information
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NPI Number | 1831877943
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Entity Type | Individual
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Provider Name | DAVID QUOCDAI NGUYEN RPH
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Gender | Male
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 31571 CANYON ESTATES DR STE 118
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City | LAKE ELSINORE
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State | CA
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Zip | 92532-0471
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Country | US
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Telephone | 951-245-4488
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Fax | 951-245-4466
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Provider Business Mailing Address
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Address Line | 12351 LOUISE ST
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City | GARDEN GROVE
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State | CA
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Zip | 92841-3285
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Country | US
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Telephone | 714-386-8091
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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 | 87977
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License Number State | CA
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