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General NPI Number Information
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NPI Number | 1083001689
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Entity Type | Individual
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Provider Name | JONATHAN HU
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Gender | Male
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 1800 HARRISON ST FL 13TH
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City | OAKLAND
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State | CA
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Zip | 94612-3471
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Country | US
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Telephone | 510-625-6192
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Fax |
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Provider Business Mailing Address
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Address Line | 718 N DEL SOL LN
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City | DIAMOND BAR
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State | CA
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Zip | 91765-1446
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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 | 71307
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License Number State | CA
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