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General NPI Number Information
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NPI Number | 1043571235
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Entity Type | Organization
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Legal Business Name | QFC
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Dates
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Enumeration Date | 06/04/2012
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Last Update Date | 06/04/2012
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Provider Practice Location Address
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Address Line | 460 E NORTH BEND WAY
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City | NORTH BEND
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State | WA
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Zip | 98045-8270
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Country | US
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Telephone | 425-888-2357
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Fax | 425-831-1953
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Provider Business Mailing Address
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Address Line | 460 E NORTH BEND WAY PO BOX 329
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City | NORTH BEND
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State | WA
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Zip | 98045-8270
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Country | US
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Telephone | 425-888-2357
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Fax | 425-831-1953
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | JOHN MARSHALL
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Credential | RPH
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Telephone | 425-888-2357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH00009475
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License Number State | WA
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