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General NPI Number Information
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NPI Number | 1043714660
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Entity Type | Individual
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Provider Name | SAMUEL GYAWU-AMOATENG PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 4033 TALBOT RD S
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City | RENTON
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State | WA
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Zip | 98055-5772
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Country | US
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Telephone | 425-690-3533
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Fax | 425-690-9147
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Provider Business Mailing Address
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Address Line | 4033 TALBOT RD S # RS
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City | RENTON
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State | WA
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Zip | 98055-5772
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Country | US
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Telephone | 425-690-3533
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Fax | 425-690-9147
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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 | PCT0014346
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH61452011
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | PST.024337
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License Number State | LA
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