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General NPI Number Information
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NPI Number | 1588037741
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Entity Type | Individual
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Provider Name | ANGEL LEE PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 11/09/2015
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 510 S VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90020-1912
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Country | US
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Telephone | 213-947-6876
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Fax |
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Provider Business Mailing Address
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Address Line | 510 S VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90020-1912
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Country | US
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Telephone | 213-947-6876
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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 | 57622
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License Number State | TX
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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 | 76044
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License Number State | CA
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