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General NPI Number Information
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NPI Number | 1942530795
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Entity Type | Individual
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Provider Name | KHUONG AN THI NGUYEN PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 12/29/2009
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Last Update Date | 12/29/2009
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Provider Practice Location Address
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Address Line | 1 SAINT JOSEPH DR
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City | LEXINGTON
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State | KY
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Zip | 40504-3742
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Country | US
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Telephone | 859-313-2973
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Fax |
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Provider Business Mailing Address
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Address Line | 151 S LOCUST HILL DR APT 1207
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City | LEXINGTON
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State | KY
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Zip | 40517-4337
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Country | US
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Telephone | 404-966-6228
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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 | 014674
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH024226
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15828
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License Number State | AL
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