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General NPI Number Information
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NPI Number | 1992660534
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Entity Type | Individual
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Provider Name | VENG HOUT TY
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Gender | Male
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 3151 UNIVERSITY AVE
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City | SAN DIEGO
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State | CA
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Zip | 92104-2039
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Country | US
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Telephone | 619-283-7366
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Fax |
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Provider Business Mailing Address
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Address Line | 3804 E WALNUT AVE
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City | ORANGE
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State | CA
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Zip | 92869-2851
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Country | US
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Telephone |
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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 | 91820
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License Number State | CA
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