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General NPI Number Information
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NPI Number | 1932811676
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Entity Type | Individual
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Provider Name | BRIAN NGUYEN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/14/2022
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 33975 DATE PALM DR
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234-4736
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Country | US
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Telephone | 760-202-3533
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Fax |
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Provider Business Mailing Address
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Address Line | 1261 N VOSBURG DR
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City | AZUSA
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State | CA
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Zip | 91702-1573
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Country | US
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Telephone | 323-286-9293
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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 | 87265
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License Number State | CA
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