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General NPI Number Information
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NPI Number | 1083053227
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Entity Type | Individual
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Provider Name | JANET LYNN COLEMAN R.PH.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 3801 MAIN ST STE A
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City | VANCOUVER
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State | WA
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Zip | 98663-2258
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Country | US
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Telephone | 360-448-7890
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Fax | 360-448-7258
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Provider Business Mailing Address
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Address Line | 3801 MAIN ST STE A
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City | VANCOUVER
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State | WA
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Zip | 98663-2258
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Country | US
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Telephone |
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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 | 8451
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1835N1003X
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Taxonomy Name | Nutrition Support Pharmacist
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License Number | 50608
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 50608
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 50608
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License Number State | WA
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