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General NPI Number Information
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NPI Number | 1235305293
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Entity Type | Individual
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Provider Name | DEVENDER S DHANDA RPH
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Gender | Male
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 3116 NE SUNSET BLVD
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City | RENTON
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State | WA
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Zip | 98056-3337
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Country | US
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Telephone | 425-793-5143
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Fax | 425-793-5329
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Provider Business Mailing Address
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Address Line | 15021 SE 177TH PL APT. 11-J
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City | RENTON
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State | WA
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Zip | 98058-9074
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Country | US
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Telephone | 402-203-0542
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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 | PH00064456
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License Number State | WA
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