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General NPI Number Information
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NPI Number | 1881626752
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Entity Type | Individual
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Provider Name | JOEY KIT LEE PHARM.D., C.D.E.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3414 W. BALL ROAD SUITE L
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City | ANAHEIM
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State | CA
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Zip | 92804-3726
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Country | US
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Telephone | 714-580-9608
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Fax |
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Provider Business Mailing Address
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Address Line | 2217 S CAMPBELL AVENUE
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City | ALHAMBRA
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State | CA
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Zip | 91803-7113
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Country | US
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Telephone | 714-580-9608
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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 | 1835N1003X
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Taxonomy Name | Nutrition Support Pharmacist
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License Number | RPH50337
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License Number State | CA
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