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General NPI Number Information
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NPI Number | 1134475122
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Entity Type | Individual
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Provider Name | SIU LING LEE RPH
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Gender | Female
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Dates
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Enumeration Date | 07/27/2012
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Last Update Date | 07/27/2012
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Provider Practice Location Address
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Address Line | 315 STATE ROUTE 15 N
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City | WHARTON
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State | NJ
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Zip | 07885-1222
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Country | US
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Telephone | 973-361-9646
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Fax | 973-361-4589
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Provider Business Mailing Address
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Address Line | 315 STATE ROUTE 15 N
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City | WHARTON
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State | NJ
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Zip | 07885-1222
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Country | US
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Telephone | 973-361-9646
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Fax | 973-361-4589
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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 | 28RI02076400
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License Number State | NJ
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