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General NPI Number Information
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NPI Number | 1366523698
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Entity Type | Individual
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Provider Name | KAREN JENG PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1505 N EDGEMONT ST 2ND FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90027-5209
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Country | US
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Telephone | 323-783-4690
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Fax | 323-783-8004
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Provider Business Mailing Address
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Address Line | 1505 NORTH EDGEMONT STREET 2ND FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90027
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Country | US
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Telephone | 323-783-4690
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Fax | 323-783-8004
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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 | 57418
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License Number State | CA
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