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General NPI Number Information
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NPI Number | 1881187490
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Entity Type | Individual
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Provider Name | KWAN T LEUNG PHARM D
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Gender | Female
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Dates
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Enumeration Date | 06/08/2018
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Last Update Date | 06/08/2018
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Provider Practice Location Address
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Address Line | 3015 E LIVINGSTON AVE
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City | COLUMBUS
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State | OH
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Zip | 43209-3047
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Country | US
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Telephone | 614-236-8622
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Fax | 614-236-9355
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Provider Business Mailing Address
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Address Line | 4072 MCNERY DR
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City | COLUMBUS
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State | OH
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Zip | 43219-8149
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Country | US
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Telephone | 614-596-0013
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 03233793
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License Number State | OH
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