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General NPI Number Information
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NPI Number | 1083552525
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Entity Type | Organization
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Legal Business Name | LODESTAR COLLABORATIVE CARE LLC
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 19699 SUN CIR
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City | WEST LINN
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State | OR
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Zip | 97068-1913
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Country | US
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Telephone | 720-648-2949
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Fax |
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Provider Business Mailing Address
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Address Line | 19699 SUN CIR
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City | WEST LINN
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State | OR
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Zip | 97068-1913
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Country | US
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Telephone | 720-648-2949
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Fax |
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Authorized Official
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Title or Position | OWNER/ LEAD PHARMACIST
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Name | HYOJIN SUNG
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Credential | PHARMD
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Telephone | 720-648-2949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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