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General NPI Number Information
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NPI Number | 1265781520
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Entity Type | Individual
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Provider Name | SANDRA BROOKE BOSSERMAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/02/2012
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Last Update Date | 09/02/2012
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Provider Practice Location Address
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Address Line | MADIGAN ARMY MEDICAL CTR BUILDING 9040 FITZSIMMONS DR.
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City | TACOMA
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State | WA
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Zip | 98431-0001
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Country | US
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Telephone | 253-968-2510
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Fax |
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Provider Business Mailing Address
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Address Line | 4116 N 32ND ST
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City | TACOMA
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State | WA
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Zip | 98407-5435
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Country | US
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Telephone | 253-968-2510
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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 | PH60086920
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License Number State | WA
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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 | 65662
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License Number State | CA
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