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General NPI Number Information
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NPI Number | 1174908750
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Entity Type | Individual
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Provider Name | YANAN SUI PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/24/2015
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 156 BRITTANY MNR APT C
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City | AMHERST
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State | MA
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Zip | 01002-3650
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Country | US
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Telephone | 617-513-0737
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Fax |
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Provider Business Mailing Address
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Address Line | 647 VFW PKWY
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City | CHESTNUT HILL
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State | MA
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Zip | 02467-3656
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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 | PH235966
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License Number State | MA
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