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General NPI Number Information
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NPI Number | 1285196576
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Entity Type | Individual
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Provider Name | JOSEPH LIMING LEE MFS, CPH, PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2019
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Last Update Date | 02/16/2020
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Provider Practice Location Address
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Address Line | 3232 FOOTHILL BLVD
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City | OAKLAND
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State | CA
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Zip | 94601-3113
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Country | US
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Telephone | 510-261-4552
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Fax |
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Provider Business Mailing Address
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Address Line | 624 ALCATRAZ AVE APT C
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City | OAKLAND
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State | CA
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Zip | 94609-1067
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Country | US
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Telephone | 713-253-2919
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | INT36040
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH82085
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License Number State | CA
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