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General NPI Number Information
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NPI Number | 1851752349
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Entity Type | Individual
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Provider Name | MINHDAI THI NGUYEN PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 03/11/2016
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 19000 HOMESTEAD RD
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City | CUPERTINO
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State | CA
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Zip | 95014-0712
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Country | US
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Telephone | 833-203-8190
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Fax |
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Provider Business Mailing Address
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Address Line | 651 PEACHTREE CT
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City | CAMPBELL
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State | CA
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Zip | 95008-6353
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Country | US
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Telephone | 408-529-1967
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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 | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | 60564
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License Number State | CA
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