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General NPI Number Information
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NPI Number | 1205158698
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Entity Type | Individual
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Provider Name | ELIZABETH V KENNEDY RPH
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Gender | Female
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 02/25/2010
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Provider Practice Location Address
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Address Line | 10101 8TH AVE S APT. #F49
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City | SEATTLE
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State | WA
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Zip | 98168-5504
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Country | US
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Telephone | 206-372-0088
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Fax |
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Provider Business Mailing Address
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Address Line | 10101 8TH AVE S APT. F49
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City | SEATTLE
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State | WA
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Zip | 98168-5504
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Country | US
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Telephone | 206-372-0088
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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 | PH00010796
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License Number State | WA
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