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General NPI Number Information
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NPI Number | 1275718348
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Entity Type | Organization
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Legal Business Name | PHD#2 OF SNOHOMISH COUNTY
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 21601 76TH AVE W
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City | EDMONDS
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State | WA
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Zip | 98026-7507
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Country | US
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Telephone | 425-640-4180
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Fax | 425-640-4182
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Provider Business Mailing Address
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Address Line | 21601 76TH AVE W
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City | EDMONDS
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State | WA
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Zip | 98026-7507
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Country | US
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Telephone | 425-640-4180
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Fax | 425-640-4182
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | VALORIE J WILKINS
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Credential | M.S., R.PH.
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Telephone | 425-640-4181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | HF00001038
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | HF00001038
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | HF00001038
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License Number State | WA
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