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General NPI Number Information
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NPI Number | 1689314379
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Entity Type | Individual
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Provider Name | HAN VIT JANG PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 3232 S MILL AVE
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City | TEMPE
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State | AZ
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Zip | 85282-3656
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Country | US
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Telephone | 480-858-9096
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Fax |
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Provider Business Mailing Address
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Address Line | 909 E PLAYA DEL NORTE DR APT 4058
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City | TEMPE
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State | AZ
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Zip | 85281-6788
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Country | US
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Telephone |
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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 | S025750
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License Number State | AZ
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