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General NPI Number Information
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NPI Number | 1467279646
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Entity Type | Individual
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Provider Name | JINJOO KANG
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Gender | Female
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Dates
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Enumeration Date | 09/20/2024
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 680 W WASHINGTON ST BLDG F
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City | SEQUIM
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State | WA
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Zip | 98382-3264
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Country | US
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Telephone | 360-681-2120
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Fax | 360-681-2962
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Provider Business Mailing Address
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Address Line | 9733 COLLEGE WAY N
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City | SEATTLE
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State | WA
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Zip | 98103-3515
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Country | US
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Telephone |
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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 | PH61560645
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License Number State | WA
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