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General NPI Number Information
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NPI Number | 1750567665
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Entity Type | Individual
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Provider Name | JULIE HYUNJU RYU PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 04/12/2012
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Provider Practice Location Address
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Address Line | 333 LAKESIDE DR
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City | FOSTER CITY
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State | CA
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Zip | 94404-1147
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Country | US
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Telephone | 650-522-5938
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Fax |
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Provider Business Mailing Address
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Address Line | 333 LAKESIDE DR
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City | FOSTER CITY
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State | CA
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Zip | 94404-1147
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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 | PH00069000
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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 | 62098
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License Number State | CA
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