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General NPI Number Information
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NPI Number | 1558845040
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Entity Type | Individual
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Provider Name | KEVIN HUA-YOUNG PAO PHARMD, RPH, AE-C
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Gender | Male
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 1650 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10457-7697
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Country | US
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Telephone | 718-177-3686
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Fax |
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Provider Business Mailing Address
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Address Line | 4715 BELL BLVD
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City | FLUSHING
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State | NY
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Zip | 11361-3333
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Country | US
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Telephone | 949-295-4226
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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 | 064742
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License Number State | NY
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