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General NPI Number Information
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NPI Number | 1114833266
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Entity Type | Individual
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Provider Name | JUHA LEE
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Gender |
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 500 PARNASSUS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2203
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Country | US
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Telephone | 858-209-8525
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Fax |
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Provider Business Mailing Address
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Address Line | 18011 POINT CONCEPTION PL
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City | CERRITOS
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State | CA
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Zip | 90703-8754
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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 | 52145
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License Number State | CA
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