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General NPI Number Information
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NPI Number | 1942788666
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Entity Type | Individual
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Provider Name | THAO HOANG PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 08/03/2018
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Last Update Date | 07/14/2019
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Provider Practice Location Address
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Address Line | 3970 N STOCKTON HILL RD
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City | KINGMAN
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State | AZ
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Zip | 86409-3002
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Country | US
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Telephone | 928-681-4903
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Fax | 928-682-4911
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Provider Business Mailing Address
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Address Line | 955 CALUMET AVE APT B
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City | KINGMAN
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State | AZ
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Zip | 86409-3702
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Country | US
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Telephone | 714-548-0807
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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 | S023782
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License Number State | AZ
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