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General NPI Number Information
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NPI Number | 1003890245
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Entity Type | Individual
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Provider Name | LAUREEN B. LILJEGREN R.PH.
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Gender | Female
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 526 228TH AVE NE
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City | SAMMAMISH
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State | WA
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Zip | 98074-7226
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Country | US
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Telephone | 425-868-1112
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Fax |
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Provider Business Mailing Address
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Address Line | 18407 NE 133RD ST
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City | WOODINVILLE
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State | WA
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Zip | 98072-6340
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Country | US
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Telephone |
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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 | PH00010290
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License Number State | WA
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