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General NPI Number Information
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NPI Number | 1457770539
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Entity Type | Individual
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Provider Name | SUNG HEE HONG
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Gender | Female
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 04/16/2014
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Provider Practice Location Address
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Address Line | 3100 PACIFIC BLVD SE
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City | ALBANY
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State | OR
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Zip | 97321-4553
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Country | US
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Telephone | 541-812-0793
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 NW CENTURY DR APT 226
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City | CORVALLIS
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State | OR
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Zip | 97330-4732
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Country | US
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Telephone | 503-473-4601
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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 | RPH 0013883
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH 60410956
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License Number State | WA
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