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General NPI Number Information
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NPI Number | 1639106339
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Entity Type | Individual
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Provider Name | JOANN CHEUNG PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 1301 PINOLE VALLEY RD
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City | PINOLE
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State | CA
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Zip | 94564-1384
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Country | US
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Telephone | 415-860-0733
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 ROCK HARBOR PT
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City | HERCULES
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State | CA
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Zip | 94547-2619
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Country | US
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Telephone | 415-860-0733
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 54117
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License Number State | CA
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