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General NPI Number Information
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NPI Number | 1497344485
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Entity Type | Individual
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Provider Name | MEEWON JAMIE KEITH PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 32980 ALVARADO NILES RD STE 836
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City | UNION CITY
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State | CA
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Zip | 94587-3186
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Country | US
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Telephone | 800-552-5520
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Fax |
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Provider Business Mailing Address
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Address Line | 500 CATHEDRAL DR UNIT 28
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City | APTOS
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State | CA
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Zip | 95001-5002
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 44774
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License Number State | CA
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