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General NPI Number Information
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NPI Number | 1366910531
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Entity Type | Individual
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Provider Name | HUNKYUNG JI PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/06/2018
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Last Update Date | 11/06/2018
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Provider Practice Location Address
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Address Line | 2139 LAWRENCEVILLE HWY
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City | DECATUR
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State | GA
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Zip | 30033-4321
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Country | US
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Telephone | 404-600-8172
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Fax |
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Provider Business Mailing Address
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Address Line | 361 17TH ST NW UNIT 704
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City | ATLANTA
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State | GA
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Zip | 30363-1080
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Country | US
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Telephone | 678-770-4312
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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 | RPH030326
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License Number State | GA
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