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General NPI Number Information
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NPI Number | 1083234595
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Entity Type | Individual
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Provider Name | SYDNEY LEE SMITH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/24/2020
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Last Update Date | 04/24/2020
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Provider Practice Location Address
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Address Line | 825 EASTLAKE AVE E
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City | SEATTLE
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State | WA
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Zip | 98109-4405
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Country | US
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Telephone | 206-606-6034
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Fax |
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Provider Business Mailing Address
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Address Line | 11051 5TH AVE SW
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City | SEATTLE
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State | WA
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Zip | 98146-2190
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Country | US
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Telephone | 775-233-3843
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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 | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | PH60658699
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | PH235853
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License Number State | MA
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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 | 18837
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License Number State | NV
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