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General NPI Number Information
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NPI Number | 1073155792
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Entity Type | Individual
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Provider Name | PEYTON NICOLE ANDREWS PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 10/14/2019
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Last Update Date | 10/14/2019
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Provider Practice Location Address
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Address Line | 17615 140TH AVE SE
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City | RENTON
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State | WA
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Zip | 98058-6828
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Country | US
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Telephone | 425-204-1585
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Fax |
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Provider Business Mailing Address
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Address Line | 565 HOQUIAM AVE NE
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City | RENTON
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State | WA
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Zip | 98059-4876
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Country | US
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Telephone | 269-274-7325
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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 | PH60970443
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License Number State | WA
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