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General NPI Number Information
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NPI Number | 1295385847
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Entity Type | Individual
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Provider Name | YUE YUAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 11250 E VIA LINDA
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-4072
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Country | US
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Telephone | 480-661-9963
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Fax | 480-661-2917
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Provider Business Mailing Address
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Address Line | 428 W SECRETARIAT DR
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City | TEMPE
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State | AZ
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Zip | 85284-1365
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Country | US
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Telephone | 480-206-0546
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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 | S023735
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License Number State | AZ
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