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NPI 1962959288

NPI 1962959288 : HUONG NI : GREENSBORO, NC

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General NPI Number Information
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    NPI Number           |    1962959288
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    Entity Type          |    Individual 
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    Provider Name        |    HUONG NI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/02/2016
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    Last Update Date     |    09/02/2016
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Provider Practice Location Address
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    Address Line         |    3230 RANDLEMAN RD SUITE C
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27406-6565
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    Country              |    US
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    Telephone            |    336-763-6878
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    408 TRUITT DR 
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    City                 |    ELON
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    State                |    NC
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    Zip                  |    27244-9326
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    Country              |    US
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    Telephone            |    336-263-0603
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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       |    13731
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    License Number State |    NC
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