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NPI Code Detail

MEDICARE: KATHY DUONG

MEDICARE: KATHY DUONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist75685CA

General Provider Information

NPI Number : 1457890857
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY DUONG
Provider Business Mailing Address
First Line : 2140 EL CAMINO REAL
Second Line :
City : SANTA CLARA
State : CA
Zip : 95050-4052
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2140 EL CAMINO REAL
Second Line :
City : SANTA CLARA
State : CA
Zip : 95050-4052
Country : US
Telephone Number : 408-246-1054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2017
Last Update Date : 02/17/2017

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Directions to “ KATHY DUONG ” Practice Location

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