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General NPI Number Information
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NPI Number | 1336128115
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Entity Type | Organization
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Legal Business Name | HJ ENTERPRISES
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 55 E CALIFORNIA BLVD STE 103
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City | PASADENA
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State | CA
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Zip | 91105-3914
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Country | US
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Telephone | 626-795-5956
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Fax | 626-795-4998
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Provider Business Mailing Address
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Address Line | 55 E CALIFORNIA BLVD STE 103
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City | PASADENA
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State | CA
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Zip | 91105-3914
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Country | US
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Telephone | 626-795-5956
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Fax | 626-795-4998
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Authorized Official
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Title or Position | GEN PARTNER
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Name | MR. JAE Y KIM
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Credential |
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Telephone | 626-795-5956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY41874
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License Number State | CA
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