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General NPI Number Information
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NPI Number | 1215578836
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Entity Type | Individual
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Provider Name | SOVIT BISTA
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Gender | Male
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Dates
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Enumeration Date | 10/04/2019
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 3909 HOYT AVE
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City | EVERETT
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State | WA
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Zip | 98201-4918
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Country | US
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Telephone | 425-252-0540
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Fax | 425-252-0549
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Provider Business Mailing Address
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Address Line | 12817 NE 201ST PL
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City | BOTHELL
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State | WA
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Zip | 98011-7600
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Country | US
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Telephone | 304-237-3041
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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 | 65686
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH61168149
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License Number State | WA
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