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General NPI Number Information
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NPI Number | 1942729512
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Entity Type | Individual
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Provider Name | NGUYET ANH DINH RPH
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Gender | Female
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Dates
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Enumeration Date | 09/15/2017
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Last Update Date | 09/15/2017
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Provider Practice Location Address
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Address Line | 496 US HIGHWAY 84 E
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City | CAIRO
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State | GA
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Zip | 39828-1647
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Country | US
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Telephone | 229-377-7644
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Fax |
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Provider Business Mailing Address
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Address Line | 6922 RAVEN MEADOW DR
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City | ARLINGTON
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State | TX
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Zip | 76002-3450
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Country | US
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Telephone | 817-715-9913
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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 | RPH030213
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License Number State | GA
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