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General NPI Number Information
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NPI Number | 1326151689
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Entity Type | Individual
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Provider Name | EUN S JEON PHARMD, BCPS
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Gender | Female
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HIGHWAY 73 MILE POST 342
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City | WHITEIVER
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State | AZ
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Zip | 85941
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Country | US
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Telephone | 928-338-3508
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3572
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City | PINETOP
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State | AZ
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Zip | 85935-3572
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Country | US
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Telephone | 928-369-1774
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 11127
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License Number State | NE
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