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General NPI Number Information
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NPI Number | 1336993872
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Entity Type | Individual
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Provider Name | KALINA QIU JU KORZEC PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/12/2024
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 6565 FANNIN STREET PHARMACY DEPARTMENT DUNN BASEMENT
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 802-379-7250
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Fax |
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Provider Business Mailing Address
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Address Line | 9111 LAKES AT 610 DR APT 1136
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City | HOUSTON
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State | TX
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Zip | 77054-2426
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Country | US
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Telephone | 802-379-7250
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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 | 72960
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License Number State | TX
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