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General NPI Number Information
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NPI Number | 1992666481
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Entity Type | Individual
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Provider Name | SHELBY THAO VY NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 2279 45TH ST
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City | SACRAMENTO
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State | CA
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Zip | 95817-1514
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Country | US
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Telephone | 916-905-4136
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Fax |
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Provider Business Mailing Address
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Address Line | 9575 CASTLEDALE CT
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City | ELK GROVE
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State | CA
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Zip | 95758-3954
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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 | RPH84910
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License Number State | CA
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