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General NPI Number Information
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NPI Number | 1932014503
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Entity Type | Individual
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Provider Name | KHANH TU DUONG PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 2268 SENTER RD
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City | SAN JOSE
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State | CA
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Zip | 95112-2623
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Country | US
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Telephone | 408-222-9889
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Fax |
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Provider Business Mailing Address
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Address Line | 2580 STURLA DR
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City | SAN JOSE
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State | CA
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Zip | 95148-2934
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Country | US
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Telephone | 408-338-9301
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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 | 92177
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License Number State | CA
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