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General NPI Number Information
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NPI Number | 1447654892
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Entity Type | Individual
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Provider Name | JUNGHI LEE RPH.
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Gender | Female
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Dates
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Enumeration Date | 10/14/2014
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Last Update Date | 10/14/2014
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Provider Practice Location Address
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Address Line | 8350 S RIVER PKWY
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City | TEMPE
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State | AZ
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Zip | 85284-2615
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Country | US
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Telephone | 480-752-5346
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Fax |
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Provider Business Mailing Address
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Address Line | 3849 N PARK ST
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City | BUCKEYE
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State | AZ
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Zip | 85396-7661
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Country | US
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Telephone | 702-332-8005
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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 | 020530
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License Number State | AZ
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