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General NPI Number Information
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NPI Number | 1841334257
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Entity Type | Individual
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Provider Name | JOEL THOMAS LEU R.PH.
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Gender | Male
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Dates
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Enumeration Date | 02/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1607 SHATTUCK AVE
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City | BERKELEY
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State | CA
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Zip | 94709-1611
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Country | US
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Telephone | 510-549-9201
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Fax |
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Provider Business Mailing Address
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Address Line | 321 DUNCAN ST # A
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City | SAN FRANCISCO
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State | CA
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Zip | 94131-2021
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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 | 51435
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License Number State | CA
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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 | 12317
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License Number State | WI
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