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General NPI Number Information
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NPI Number | 1750744603
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Entity Type | Individual
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Provider Name | JI YEI KIM PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2016
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 1160 INDUSTRIAL RD SUITE 17
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City | SAN CARLOS
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State | CA
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Zip | 94070-4124
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Country | US
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Telephone | 800-780-3584
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Fax |
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Provider Business Mailing Address
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Address Line | 310 CRESCENT VILLAGE CIR APT 1388
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City | SAN JOSE
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State | CA
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Zip | 95134-3024
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Country | US
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Telephone | 213-703-6548
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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 | 74393
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License Number State | CA
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