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General NPI Number Information
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NPI Number | 1841739265
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Entity Type | Individual
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Provider Name | UDUAK NTUEN PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 12/23/2020
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Provider Practice Location Address
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Address Line | 9617 GREAT HILLS TRL APT 1232
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City | AUSTIN
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State | TX
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Zip | 78759-6382
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Country | US
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Telephone | 336-337-7149
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Fax |
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Provider Business Mailing Address
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Address Line | 2434 N SACRAMENTO AVE
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City | CHICAGO
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State | IL
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Zip | 60647-2666
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Country | US
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Telephone | 773-687-6346
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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 | PST.022188
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051303564
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 24542
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 56230
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License Number State | TX
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