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General NPI Number Information
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NPI Number | 1861476129
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Entity Type | Individual
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Provider Name | CINDY NGUYEN TA PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 120 N 85TH ST
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City | SEATTLE
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State | WA
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Zip | 98103-3602
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Country | US
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Telephone | 206-784-7601
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Fax | 206-783-8938
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Provider Business Mailing Address
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Address Line | 4009 59TH AVE SW
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City | SEATTLE
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State | WA
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Zip | 98116-3513
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Country | US
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Telephone | 206-935-0492
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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 | PH00061078
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License Number State | WA
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