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General NPI Number Information
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NPI Number | 1972977874
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Entity Type | Individual
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Provider Name | ANDREW QUOC TUAN NGUYEN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 02/25/2023
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Provider Practice Location Address
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Address Line | 1800 NW MYHRE RD
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City | SILVERDALE
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State | WA
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Zip | 98383-7663
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Country | US
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Telephone | 564-240-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 NW MYHRE RD
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City | SILVERDALE
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State | WA
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Zip | 98383-7663
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Country | US
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Telephone | 564-240-1500
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 3166327
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | IR60514479
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 80871
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License Number State | CA
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