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General NPI Number Information
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NPI Number | 1730411075
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Entity Type | Individual
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Provider Name | ANGELA J KWON PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 02/11/2010
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 7002 MOODY ST STE 106
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City | LA PALMA
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State | CA
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Zip | 90623-1181
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Country | US
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Telephone | 562-403-2332
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Fax |
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Provider Business Mailing Address
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Address Line | 10191 E IOWA AVE APT 725
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City | DENVER
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State | CO
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Zip | 80247-3124
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Country | US
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Telephone | 303-338-4553
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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 | 80608
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License Number State | CA
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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 | 18528
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License Number State | CO
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