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General NPI Number Information
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NPI Number | 1073668471
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Entity Type | Individual
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Provider Name | JUDI LEE MAR-BURBIDGE PHARMD, FASCP
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12303 NE 130TH LN STE 210 EVERGREEN HOSPITAL PROFESSIONAL CENTER PHARMACY
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City | KIRKLAND
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State | WA
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Zip | 98034-3060
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Country | US
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Telephone | 425-899-2792
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Fax | 425-899-2795
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Provider Business Mailing Address
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Address Line | 15534 BAGLEY PL N
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City | SHORELINE
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State | WA
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Zip | 98133-6031
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Country | US
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Telephone | 206-364-1846
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Fax | 425-806-7725
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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 | PH00011470
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License Number State | WA
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