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General NPI Number Information
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NPI Number | 1275007700
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Entity Type | Individual
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Provider Name | VINCENT LEONARD LEE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/17/2019
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Last Update Date | 01/17/2019
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Provider Practice Location Address
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Address Line | 7300 S ALAMEDA ST
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-3738
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Country | US
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Telephone | 323-583-0638
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Fax |
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Provider Business Mailing Address
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Address Line | 991 RIDGESIDE DR
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City | MONTEREY PARK
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State | CA
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Zip | 91754-3726
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Country | US
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Telephone | 626-818-7108
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 75528
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License Number State | CA
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