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General NPI Number Information
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NPI Number | 1205863446
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Entity Type | Individual
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Provider Name | LYNNETTE RAE HARLOW PHARM D
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Gender | Female
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 1603 E FOURTH PLAIN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98661-3753
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Country | US
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Telephone | 360-696-4061
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Fax | 360-737-1443
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Provider Business Mailing Address
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Address Line | 8804 NE 339TH ST
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City | LA CENTER
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State | WA
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Zip | 98629
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Country | US
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Telephone | 360-263-6856
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 9418
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License Number State | OR
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