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General NPI Number Information
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NPI Number | 1386894830
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Entity Type | Individual
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Provider Name | NINA YEN PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2008
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 2603 VIA CAMPO
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City | MONTEBELLO
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State | CA
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Zip | 90640-1807
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Country | US
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Telephone | 323-720-5554
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Fax |
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Provider Business Mailing Address
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Address Line | 2603 VIA CAMPO
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City | MONTEBELLO
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State | CA
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Zip | 90640-1807
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Country | US
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Telephone | 213-419-9314
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Fax | 213-362-5171
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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 | 10843
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 10843
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 10843
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 63355
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License Number State | CA
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