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General NPI Number Information
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NPI Number | 1962839571
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Entity Type | Individual
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Provider Name | THANH BINH NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 09/27/2013
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Last Update Date | 09/27/2013
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Provider Practice Location Address
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Address Line | 6865 HOLLISTER AVE
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City | GOLETA
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State | CA
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Zip | 93117-3017
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Country | US
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Telephone | 805-968-1633
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Fax | 805-968-7573
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Provider Business Mailing Address
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Address Line | PO BOX 5056
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City | IRVINE
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State | CA
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Zip | 92616-5056
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Country | US
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Telephone | 714-381-8111
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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 | 66803
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License Number State | CA
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