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General NPI Number Information
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NPI Number | 1558161174
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Entity Type | Individual
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Provider Name | RYAN SUNGHUN JI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1740 S VICTORIA AVE
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City | VENTURA
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State | CA
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Zip | 93003-6592
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Country | US
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Telephone | 805-644-1833
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Fax |
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Provider Business Mailing Address
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Address Line | 27438 RIVERSIDE LN
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City | VALENCIA
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State | CA
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Zip | 91354-1890
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Country | US
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Telephone | 323-336-5821
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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 | 90801
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License Number State | CA
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