Che Doua Thao

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

Practice address

Leafline Labs
Eagan, MN 55425

Phone

(651) 846-9245

NPI assigned

Dec 5, 2018

Last updated

Dec 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1548730328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 LAWSON AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LEAFLINE LABS",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55425",
            "telephone_number": "651-846-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAO",
        "first_name": "CHE",
        "middle_name": "DOUA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Celia Taylor
• Monique Ranae Taylor
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• Tendercaretwincitiesllc (Tender Care)
• Samrawit Habteab Tesfay
• Vicky Thao
• The Dental Center of Eagan
• The Dental Specialists of Minnesota, PLLC
• The Divergent Grove Therapy LLC
• Tressa Theis, M.S., CCC-SLP

• Pharmacy Technician in Eagan, MN
• Providers in Eagan, MN by specialty
• Pharmacy Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.