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General NPI Number Information
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NPI Number | 1104400829
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Entity Type | Individual
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Provider Name | JESSICA KATE MCEVER
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Gender | Female
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Dates
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Enumeration Date | 05/09/2021
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Last Update Date | 05/09/2021
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Provider Practice Location Address
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Address Line | 700 S MAIN ST
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City | ELLENSBURG
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State | WA
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Zip | 98926-3641
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Country | US
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Telephone | 509-925-4232
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Fax | 509-925-6063
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Provider Business Mailing Address
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Address Line | 10248 OLD NACHES HWY
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City | NACHES
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State | WA
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Zip | 98937-9700
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Country | US
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Telephone | 509-929-3001
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number |
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License Number State |
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