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General NPI Number Information
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NPI Number | 1003524356
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Entity Type | Individual
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Provider Name | EUN SHIN NA
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Gender | Female
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 3500 W 6TH ST STE 120
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City | LOS ANGELES
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State | CA
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Zip | 90020-5801
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Country | US
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Telephone | 213-739-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 5109 CORNWALL DR
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City | LA PALMA
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State | CA
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Zip | 90623-2309
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Country | US
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Telephone | 714-683-7604
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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 | RPH86148
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License Number State | CA
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