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General NPI Number Information
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NPI Number | 1912522301
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Entity Type | Individual
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Provider Name | LY DANG PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 6688 N CENTRAL EXPY STE 1300
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City | DALLAS
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State | TX
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Zip | 75206-3950
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Country | US
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Telephone | 469-621-6434
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Fax |
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Provider Business Mailing Address
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Address Line | 6700 HAVENHURST CT
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City | PARKER
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State | TX
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Zip | 75002-4601
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Country | US
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Telephone | 214-862-3911
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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 | 42884
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License Number State | TX
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