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General NPI Number Information
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NPI Number | 1164505012
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Entity Type | Individual
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Provider Name | EVA YEE LUM PHARM D
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4647 ZION AVE
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City | SAN DIEGO
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State | CA
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Zip | 92120
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Country | US
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Telephone | 619-528-6672
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Fax |
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Provider Business Mailing Address
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Address Line | 1461 CAMINITO HALAGO
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City | LA JOLLA
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State | CA
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Zip | 92037
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Country | US
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Telephone | 858-454-4769
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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 | 39136
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License Number State | CA
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