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NPI 1184178816

NPI 1184178816 : KATIE EUN JIN CHOI PHARMD : SNOHOMISH, WA

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General NPI Number Information
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    NPI Number           |    1184178816
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    Entity Type          |    Individual 
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    Provider Name        |    KATIE EUN JIN CHOI PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/11/2016
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    Last Update Date     |    01/14/2022
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Provider Practice Location Address
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    Address Line         |    2801 BICKFORD AVE 
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    City                 |    SNOHOMISH
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    State                |    WA
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    Zip                  |    98290-1734
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    Country              |    US
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    Telephone            |    360-563-3700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2801 BICKFORD AVE 
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    City                 |    SNOHOMISH
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    State                |    WA
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    Zip                  |    98290-1734
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    Country              |    US
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    Telephone            |    
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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       |    PH60658058
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    PH60658058
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    License Number State |    WA
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