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General NPI Number Information
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NPI Number | 1891302519
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Entity Type | Individual
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Provider Name | PERRY H KIM RPH
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Gender | Female
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Dates
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Enumeration Date | 09/27/2020
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Last Update Date | 10/01/2020
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Provider Practice Location Address
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Address Line | 11004 MAIN ST
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City | EL MONTE
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State | CA
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Zip | 91731-2617
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Country | US
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Telephone | 213-357-5645
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Fax |
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Provider Business Mailing Address
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Address Line | 2703 VIA PORTOLA
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City | FULLERTON
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State | CA
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Zip | 92835-2827
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Country | US
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Telephone | 213-357-5645
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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 | 78394
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License Number State | CA
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