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General NPI Number Information
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NPI Number | 1922478874
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Entity Type | Individual
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Provider Name | MR. THUAN DO
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Gender | Male
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Dates
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Enumeration Date | 10/05/2015
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Last Update Date | 10/05/2015
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Provider Practice Location Address
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Address Line | 3030 CENTRE POINTE DR STE 800
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City | ROSEVILLE
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State | MN
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Zip | 55113-1142
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Country | US
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Telephone | 651-414-3308
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Fax | 651-414-3398
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Provider Business Mailing Address
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Address Line | 10245 WASHINGTON CT NE
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City | BLAINE
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State | MN
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Zip | 55434-4226
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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 | 116500
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License Number State | MN
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