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General NPI Number Information
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NPI Number | 1174037410
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Entity Type | Individual
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Provider Name | YOONJO AHN PHARM.D, RPH
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Gender | Female
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Dates
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Enumeration Date | 11/23/2017
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Last Update Date | 04/16/2020
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Provider Practice Location Address
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Address Line | 1-7 AUDUBON AVE
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City | NEW YORK
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State | NY
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Zip | 10032
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Country | US
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Telephone | 212-543-1554
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Fax |
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Provider Business Mailing Address
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Address Line | 44 HIGHFIELD LN
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City | NUTLEY
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State | NJ
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Zip | 07110-1930
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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 | 063587
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License Number State | NY
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