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General NPI Number Information
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NPI Number | 1912274168
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Entity Type | Individual
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Provider Name | ANDY TRINH PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 6325 ROSEMEAD BLVD
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City | SAN GABRIEL
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State | CA
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Zip | 91775-1933
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Country | US
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Telephone | 626-285-5107
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 523
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City | ROSEMEAD
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State | CA
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Zip | 91770-0523
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Country | US
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Telephone |
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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 | RPH 64760
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19873
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17961
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License Number State | NV
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