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General NPI Number Information
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NPI Number | 1578030540
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Entity Type | Individual
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Provider Name | YOOJIN HONG
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Gender | Female
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Dates
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Enumeration Date | 10/29/2018
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 5030 HAMNER AVE
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City | EASTVALE
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State | CA
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Zip | 91752-1009
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Country | US
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Telephone | 951-749-7190
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Fax |
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Provider Business Mailing Address
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Address Line | 13221 MURANO AVE
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City | CHINO
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State | CA
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Zip | 91710-8117
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Country | US
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Telephone | 951-666-1916
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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 | 79590
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License Number State | CA
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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 | 79590
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License Number State | CA
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