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General NPI Number Information
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NPI Number | 1235457300
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Entity Type | Individual
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Provider Name | JANNIE W CHEUNG PHARM D
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Gender | Female
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Dates
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Enumeration Date | 05/13/2010
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Last Update Date | 05/13/2010
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Provider Practice Location Address
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Address Line | 15800 IMPERIAL HWY
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City | LA MIRADA
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State | CA
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Zip | 90638-2512
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Country | US
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Telephone | 562-902-5538
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Fax | 562-903-6517
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Provider Business Mailing Address
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Address Line | 4028 GOLDEN TERRACE LN
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City | CHINO HILLS
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State | CA
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Zip | 91709-4928
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Country | US
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Telephone | 562-902-5538
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Fax | 562-902-6517
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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 | RPH45047
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License Number State | CA
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