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General NPI Number Information
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NPI Number | 1154581593
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Entity Type | Individual
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Provider Name | HANA MA RPH
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Gender | Female
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 17615 140TH AVE SE
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City | RENTON
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State | WA
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Zip | 98058-6828
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Country | US
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Telephone | 425-204-1585
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Fax | 425-204-0743
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Provider Business Mailing Address
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Address Line | 1610 BELMONT AVE APT. 610
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City | SEATTLE
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State | WA
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Zip | 98122-8300
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Country | US
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Telephone | 425-225-5618
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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 | PH00068831
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License Number State | WA
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