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General NPI Number Information
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NPI Number | 1124675483
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Entity Type | Individual
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Provider Name | YA-WHEY WU PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | 300 HILLMONT AVE
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City | VENTURA
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State | CA
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Zip | 93003-1651
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Country | US
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Telephone | 805-652-6220
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19122
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City | NEWBURY PARK
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State | CA
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Zip | 91319-9122
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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 | 65831
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License Number State | CA
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