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General NPI Number Information
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NPI Number | 1144298100
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Entity Type | Individual
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Provider Name | GARY G HARRIS R.PH.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 06/19/2012
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Provider Practice Location Address
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Address Line | 1531 NE 145TH ST
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City | SEATTLE
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State | WA
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Zip | 98155-7205
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Country | US
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Telephone | 206-366-4672
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Fax | 206-366-4674
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Provider Business Mailing Address
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Address Line | 15228 NE 173RD ST
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City | WOODINVILLE
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State | WA
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Zip | 98072-6252
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Country | US
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Telephone | 425-877-1502
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Fax | 206-366-4674
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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 | PH00009531
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License Number State | WA
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