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General NPI Number Information
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NPI Number | 1881137768
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Entity Type | Individual
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Provider Name | TUYET LE THANH NGUYEN PHARM.D., MBA
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Gender | Female
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 05/10/2019
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Provider Practice Location Address
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Address Line | 4128 S CARRIAGE SQ
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City | TAYLORSVILLE
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State | UT
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Zip | 84129-5532
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Country | US
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Telephone | 801-987-3265
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Fax | 801-981-8743
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Provider Business Mailing Address
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Address Line | 4128 S CARRIAGE SQ
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City | TAYLORSVILLE
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State | UT
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Zip | 84129-5532
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Country | US
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Telephone | 801-987-3265
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Fax | 801-981-8743
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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 | 8405992-1701
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License Number State | UT
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