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General NPI Number Information
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NPI Number | 1841026739
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Entity Type | Individual
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Provider Name | DANIEL JOSIAH NGUYEN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 1609 PHYSICIANS DR
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4620
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Country | US
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Telephone | 850-431-4085
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Fax |
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Provider Business Mailing Address
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Address Line | 3215 LORD MURPHY TRL
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City | TALLAHASSEE
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State | FL
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Zip | 32309-1752
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Country | US
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Telephone | 864-314-7960
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | PS64189
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License Number State | FL
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