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General NPI Number Information
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NPI Number | 1043172737
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Entity Type | Individual
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Provider Name | MELODY YEUNG
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Gender | Female
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 607 E MAGNOLIA ST
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City | STOCKTON
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State | CA
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Zip | 95202-1846
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Country | US
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Telephone | 209-687-5490
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Fax |
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Provider Business Mailing Address
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Address Line | 6916 PENINSULA WAY
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City | ELK GROVE
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State | CA
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Zip | 95758-6317
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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 | RPH91555
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License Number State | CA
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