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General NPI Number Information
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NPI Number | 1194719526
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Entity Type | Individual
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Provider Name | BRANDI LYN HOMMEL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 1 BOONE RD
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City | BREMERTON
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State | WA
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Zip | 98312-1898
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Country | US
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Telephone | 360-475-4044
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BOONE RD
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City | BREMERTON
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State | WA
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Zip | 98312-1898
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Country | US
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Telephone | 360-475-4044
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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 | PH00039060
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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 | PH00039060
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License Number State | WA
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