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General NPI Number Information
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NPI Number | 1184989063
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Entity Type | Individual
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Provider Name | MIYOUNG HONG RPH
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Gender | Female
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Dates
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Enumeration Date | 07/06/2012
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Last Update Date | 07/25/2016
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Provider Practice Location Address
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Address Line | 3905 BRIDGEPORT WAY W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-4417
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Country | US
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Telephone | 253-565-7997
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Fax | 253-460-0440
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Provider Business Mailing Address
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Address Line | 3925 236TH AVE NE
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City | REDMOND
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State | WA
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Zip | 98053-8455
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Country | US
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Telephone | 425-836-8112
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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 | PH60001119
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License Number State | WA
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