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General NPI Number Information
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NPI Number | 1780759514
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Entity Type | Individual
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Provider Name | LINDA LEE
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10800 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92505-3043
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Country | US
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Telephone | 951-353-4070
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Fax | 951-353-5772
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Provider Business Mailing Address
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Address Line | 877 W EL REPETTO DR
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City | MONTEREY PARK
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State | CA
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Zip | 91754-5217
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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 | 57483
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License Number State | CA
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