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General NPI Number Information
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NPI Number | 1033311899
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Entity Type | Individual
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Provider Name | DARA LYNN SLUNAKER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10202 SE 32ND AVE STE 701
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City | MILWAUKIE
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State | OR
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Zip | 97222-3625
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Country | US
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Telephone | 503-513-2119
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Fax |
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Provider Business Mailing Address
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Address Line | 10202 SE 32ND AVE STE 701
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City | MILWAUKIE
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State | OR
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Zip | 97222-3625
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Country | US
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Telephone | 503-513-2119
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | RPH-0010787
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License Number State | OR
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