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General NPI Number Information
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NPI Number | 1801496880
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Entity Type | Individual
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Provider Name | MRS. SON HUI CORBIN
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Gender | Female
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 6781 GRAYSON RD
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City | HARRISBURG
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State | PA
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Zip | 17111-5138
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Country | US
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Telephone | 717-561-0587
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Fax | 717-567-9942
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Provider Business Mailing Address
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Address Line | 137 JACOBS CREEK DR
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City | HERSHEY
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State | PA
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Zip | 17033-8926
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Country | US
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Telephone | 717-575-5797
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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 | RP040805L
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License Number State | PA
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