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General NPI Number Information
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NPI Number | 1881318715
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Entity Type | Individual
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Provider Name | LAM HOANGANH NGUYEN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 917 DIVISION ST STE B
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City | BILOXI
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State | MS
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Zip | 39530-3001
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Country | US
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Telephone | 228-280-8931
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Fax |
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Provider Business Mailing Address
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Address Line | 1598 LUCIUS ST
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City | BILOXI
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State | MS
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Zip | 39532-3140
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Country | US
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Telephone | 228-243-7107
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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 | E-100451
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License Number State | MS
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