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General NPI Number Information
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NPI Number | 1114415999
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Entity Type | Individual
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Provider Name | SARA ELMARAKSHY R.PH.
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Gender | Female
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 06/05/2018
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Provider Practice Location Address
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Address Line | 4025 DELRIDGE WAY SW STE 400
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City | SEATTLE
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State | WA
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Zip | 98106
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Country | US
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Telephone | 877-227-8355
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Fax |
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Provider Business Mailing Address
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Address Line | 3219 220TH AVE SE
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City | SAMMAMISH
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State | WA
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Zip | 98075-6228
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Country | US
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Telephone | 206-698-8327
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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 | PH60816046
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License Number State | WA
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