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General NPI Number Information
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NPI Number | 1881727634
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Entity Type | Organization
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Legal Business Name | VIERAN CORP
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 307 N ASH ST
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City | ESCONDIDO
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State | CA
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Zip | 92027-3015
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Country | US
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Telephone | 760-745-6672
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Fax | 760-745-2420
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Provider Business Mailing Address
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Address Line | 307 N ASH ST
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City | ESCONDIDO
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State | CA
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Zip | 92027-3015
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Country | US
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Telephone | 760-745-6672
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Fax | 760-745-2420
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. PHUONG DUNG NGUYEN
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Credential | R.PH.
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Telephone | 760-745-6672
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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 | 50748
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License Number State | CA
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