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General NPI Number Information
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NPI Number | 1912280678
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Entity Type | Individual
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Provider Name | THANH NHAT NGUYEN PHARM D
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Gender | Male
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Dates
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Enumeration Date | 09/20/2011
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Last Update Date | 09/20/2011
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Provider Practice Location Address
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Address Line | 5211 S CONWAY RD
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City | ORLANDO
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State | FL
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Zip | 32812-2202
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Country | US
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Telephone | 407-812-8770
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Fax |
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Provider Business Mailing Address
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Address Line | 5131 TUSCAN OAK DR
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City | ORLANDO
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State | FL
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Zip | 32839-2077
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Country | US
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Telephone | 407-240-6025
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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 | PS 40170
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License Number State | FL
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