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General NPI Number Information
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NPI Number | 1326525296
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Entity Type | Individual
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Provider Name | AMORETTE ANN JENG PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 3701 BROADWAY FL 3
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City | OAKLAND
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State | CA
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Zip | 94611-5613
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Country | US
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Telephone | 510-752-6564
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Fax |
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Provider Business Mailing Address
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Address Line | 25832 DICKENS CT
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City | STEVENSON RANCH
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State | CA
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Zip | 91381-1220
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Country | US
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Telephone | 661-373-7740
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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 | 76852
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License Number State | CA
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