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General NPI Number Information
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NPI Number | 1104969518
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Entity Type | Organization
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Legal Business Name | PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 3915 TALBOT RD S
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City | RENTON
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State | WA
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Zip | 98055-5738
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Country | US
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Telephone | 425-656-4050
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Fax | 425-656-5036
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Provider Business Mailing Address
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Address Line | 3915 TALBOT RD S
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City | RENTON
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State | WA
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Zip | 98055-5738
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Country | US
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Telephone | 425-656-4050
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Fax | 425-656-5036
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY SERVICES/AO
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Name | KEN KENYON
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Credential | PHARMD
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Telephone | 425-228-3440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHAR.CF.60213412
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License Number State | WA
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