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General NPI Number Information
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NPI Number | 1750652319
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Entity Type | Individual
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Provider Name | RUEY CHING JU PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 01/13/2012
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Last Update Date | 01/13/2012
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Provider Practice Location Address
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Address Line | 450 MASSACHUSETTS AVE NW APT 507
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City | WASHINGTON
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State | DC
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Zip | 20001-6209
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Country | US
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Telephone | 862-324-3062
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Fax |
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Provider Business Mailing Address
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Address Line | 450 MASSACHUSETTS AVE NW APT 507
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City | WASHINGTON
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State | DC
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Zip | 20001-6209
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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 | 0202209154
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License Number State | VA
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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 | 28RI03078900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH100000711
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License Number State | DC
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