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NPI 1720463169

NPI 1720463169 : UN HEE JO RPH : ALACHUA, FL

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General NPI Number Information
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    NPI Number           |    1720463169
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    Entity Type          |    Individual 
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    Provider Name        |    UN HEE JO RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/28/2015
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    Last Update Date     |    07/28/2015
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Provider Practice Location Address
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    Address Line         |    15155 NW US HIGHWAY 441 
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    City                 |    ALACHUA
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    State                |    FL
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    Zip                  |    32615-8603
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    Country              |    US
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    Telephone            |    386-418-3785
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    Fax                  |    386-418-4696
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Provider Business Mailing Address
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    Address Line         |    15155 NW US HIGHWAY 441 
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    City                 |    ALACHUA
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    State                |    FL
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    Zip                  |    32615-8603
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    Country              |    US
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    Telephone            |    386-418-3785
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    Fax                  |    386-418-4696
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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       |    PS44216
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    License Number State |    FL
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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       |    12042
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    License Number State |    SC
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