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General NPI Number Information
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NPI Number | 1093920340
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Entity Type | Individual
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Provider Name | CAROLINE J LEE PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 328 UNIVERSITY AVE
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City | PALO ALTO
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State | CA
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Zip | 94301-1715
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Country | US
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Telephone | 650-326-3876
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1130
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City | BELMONT
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State | CA
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Zip | 94002-1130
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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 | R1891
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 54725
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License Number State | CA
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