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General NPI Number Information
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NPI Number | 1629366224
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Entity Type | Individual
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Provider Name | JOYCE HONG
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Gender | Female
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Dates
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Enumeration Date | 07/16/2011
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Last Update Date | 07/16/2011
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Provider Practice Location Address
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Address Line | 27100 EUCALYPTUS AVE T-2309
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City | MORENO VALLEY
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State | CA
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Zip | 92555-4522
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Country | US
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Telephone | 951-571-8015
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Fax | 951-571-8015
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Provider Business Mailing Address
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Address Line | 27100 EUCALYPTUS AVE T-2309
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City | MORENO VALLEY
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State | CA
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Zip | 92555-4522
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Country | US
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Telephone | 951-571-8015
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Fax | 951-571-8015
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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 | 52117
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License Number State | CA
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