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General NPI Number Information
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NPI Number | 1013591379
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Entity Type | Individual
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Provider Name | JULIE MEI WAH PLUMTREE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 800 E LUGONIA AVE
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City | REDLANDS
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State | CA
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Zip | 92374-2550
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Country | US
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Telephone | 909-307-6964
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Fax |
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Provider Business Mailing Address
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Address Line | 212 SAINT ALBANS AVE
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-3516
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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 | RPH84120
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License Number State | CA
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