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General NPI Number Information
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NPI Number | 1992360747
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Entity Type | Individual
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Provider Name | GARY SEUN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/07/2019
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Last Update Date | 05/07/2019
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Provider Practice Location Address
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Address Line | 1744 SOLANO AVE
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City | BERKELEY
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State | CA
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Zip | 94707-2213
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Country | US
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Telephone | 510-526-2452
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Fax |
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Provider Business Mailing Address
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Address Line | 1510 FLAGSHIP DR
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City | VALLEJO
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State | CA
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Zip | 94592-1194
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Country | US
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Telephone | 951-675-8798
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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 | 77375
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License Number State | CA
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