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General NPI Number Information
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NPI Number | 1912481250
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Entity Type | Individual
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Provider Name | ALFRED YEUNG
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Gender | Male
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Dates
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Enumeration Date | 09/22/2018
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Last Update Date | 09/22/2018
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Provider Practice Location Address
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Address Line | 8695 SPECTRUM CENTER BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92123-1489
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Country | US
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Telephone | 858-262-6188
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Fax |
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Provider Business Mailing Address
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Address Line | 6824 BEADNELL WAY APT 44
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City | SAN DIEGO
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State | CA
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Zip | 92117-5168
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Country | US
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Telephone | 609-334-2658
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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 | PH236997
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License Number State | MA
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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 | 78238
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License Number State | CA
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