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General NPI Number Information
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NPI Number | 1457641649
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Entity Type | Individual
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Provider Name | RICHARD JERNG WAI LOUIE PHARM D
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Gender | Male
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Dates
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Enumeration Date | 04/09/2011
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Last Update Date | 04/09/2011
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Provider Practice Location Address
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Address Line | 777 E EL CAMINO REAL
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City | SUNNYVALE
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State | CA
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Zip | 94087-2919
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Country | US
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Telephone | 408-738-0595
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Fax | 408-738-2543
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Provider Business Mailing Address
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Address Line | 7 VIEW TER
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City | MILLBRAE
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State | CA
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Zip | 94030-2916
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Country | US
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Telephone | 650-697-3368
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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 | 30614
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License Number State | CA
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