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General NPI Number Information
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NPI Number | 1114158094
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Entity Type | Individual
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Provider Name | JOY C LAI PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 07/27/2009
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Provider Practice Location Address
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Address Line | 1901 PENNSYLVANIA AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63133-1325
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Country | US
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Telephone | 314-512-7569
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Fax | 314-512-7574
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Provider Business Mailing Address
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Address Line | 5826 SOUTHCREST WAY
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City | SAINT LOUIS
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State | MO
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Zip | 63129-2389
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Country | US
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Telephone | 314-920-6672
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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 | 2008027485
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License Number State | MO
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