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General NPI Number Information
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NPI Number | 1720562309
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Entity Type | Individual
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Provider Name | LUIS YE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 1685 WESTBELT DR
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City | COLUMBUS
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State | OH
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Zip | 43228-3809
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Country | US
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Telephone | 908-389-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 4842 STEPHANIE KAY DR S APT 106
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City | HILLIARD
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State | OH
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Zip | 43026-6378
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Country | US
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Telephone | 614-893-4161
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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 | PH60860238
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License Number State | WA
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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 | 03438557
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License Number State | OH
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