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General NPI Number Information
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NPI Number | 1649900804
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Entity Type | Individual
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Provider Name | EUNKYO YI RPH
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Gender | Female
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Dates
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Enumeration Date | 06/12/2022
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 6340 COMMERCE BLVD
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City | ROHNERT PARK
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State | CA
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Zip | 94928-2404
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Country | US
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Telephone | 707-855-9805
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Fax |
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Provider Business Mailing Address
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Address Line | 5300 DOWDELL AVE UNIT 232
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City | ROHNERT PARK
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State | CA
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Zip | 94928-4114
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Country | US
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Telephone | 971-716-4204
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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 | 87669
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License Number State | CA
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