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General NPI Number Information
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NPI Number | 1225302979
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Entity Type | Individual
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Provider Name | LAM THI TUYET DANG PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 02/27/2012
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | 12221 120TH AVE NE
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City | KIRKLAND
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State | WA
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Zip | 98034-6905
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Country | US
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Telephone | 425-820-3233
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Fax | 425-820-3238
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Provider Business Mailing Address
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Address Line | 12221 120TH AVE NE
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City | KIRKLAND
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State | WA
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Zip | 98034-6905
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Country | US
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Telephone | 425-820-3233
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Fax | 425-820-3238
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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 | 00065616
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License Number State | WA
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