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General NPI Number Information
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NPI Number | 1730442468
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Entity Type | Individual
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Provider Name | JENNIFER Y LU PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 1993 MCKEE RD
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City | SAN JOSE
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State | CA
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Zip | 95116-1406
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Country | US
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Telephone | 408-254-6392
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Fax | 408-254-6494
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Provider Business Mailing Address
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Address Line | 41982 VIA SAN CARLOS
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City | FREMONT
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State | CA
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Zip | 94539-4738
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Country | US
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Telephone | 510-573-5077
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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 | 50002
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License Number State | CA
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