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General NPI Number Information
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NPI Number | 1508959248
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Entity Type | Individual
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Provider Name | MELISSA YON JENKINS PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 75-5259 MAMALAHOA HWY APT D2
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City | HOLUALOA
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State | HI
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Zip | 96725-9643
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Country | US
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Telephone | 808-989-2724
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Fax |
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Provider Business Mailing Address
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Address Line | 75-5259 MAMALAHOA HWY APT D2
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City | HOLUALOA
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State | HI
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Zip | 96725-9643
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Country | US
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Telephone | 808-989-2724
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | IND-933891
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License Number State | HI
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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-2453
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License Number State | HI
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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 | RPH-53706
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S023496
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License Number State | AZ
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