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General NPI Number Information
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NPI Number | 1487762951
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Entity Type | Individual
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Provider Name | PERRY YEE FONG RPH
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Gender | Male
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Dates
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Enumeration Date | 08/26/2006
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Last Update Date | 06/25/2012
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Provider Practice Location Address
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Address Line | 5580 US HIGHWAY 25/70
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City | MARSHALL
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State | NC
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Zip | 28753-6499
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Country | US
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Telephone | 828-649-1636
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Fax | 828-649-1784
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Provider Business Mailing Address
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Address Line | 5580 US 25/70 HWY
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City | MARSHALL
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State | NC
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Zip | 28753-6499
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Country | US
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Telephone | 828-649-1636
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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 | 17860
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License Number State | NC
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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 | 20282
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10662
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License Number State | AL
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