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General NPI Number Information
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NPI Number | 1952591299
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Entity Type | Organization
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Legal Business Name | T AND J CORP.
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 561 MEDICAL CENTER BLVD SUITE D
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City | WEBSTER
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State | TX
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Zip | 77598-4239
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Country | US
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Telephone | 281-286-9696
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Fax | 281-286-9696
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Provider Business Mailing Address
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Address Line | 10904 SCARSDALE BLVD SUITE 350-135
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City | HOUSTON
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State | TX
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Zip | 77089-6068
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Country | US
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Telephone | 832-661-0865
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Fax | 281-286-9697
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Authorized Official
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Title or Position | PRESIDENT / PHARMACIST-IN-CHARGE
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Name | DR. TAM THANH NGUYEN
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Credential | PHARM. D.
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Telephone | 832-661-0865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 25653
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License Number State | TX
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