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General NPI Number Information
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NPI Number | 1164054102
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Entity Type | Individual
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Provider Name | SIU YING KWUN PHARM D
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Gender | Female
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Dates
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Enumeration Date | 02/07/2020
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Last Update Date | 02/07/2020
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Provider Practice Location Address
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Address Line | 3051 COUNTRYSIDE DR
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City | TURLOCK
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State | CA
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Zip | 95380-8400
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Country | US
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Telephone | 209-669-2780
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Fax |
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Provider Business Mailing Address
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Address Line | 3450 CATAMARAN CT
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City | ATWATER
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State | CA
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Zip | 95301-4712
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Country | US
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Telephone | 209-658-3007
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 81977
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License Number State | CA
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