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General NPI Number Information
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NPI Number | 1033714654
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Entity Type | Individual
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Provider Name | ALISON JOY PRIEST CPHT
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Gender | Female
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Dates
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Enumeration Date | 12/01/2020
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 23500 NE SANDY BLVD
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City | WOOD VILLAGE
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State | OR
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Zip | 97060-9653
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Country | US
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Telephone | 503-334-5139
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2061
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City | FAIRVIEW
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State | OR
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Zip | 97024-1813
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Country | US
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Telephone | 503-334-5139
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | CPT-0005490
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License Number State | OR
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