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General NPI Number Information
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NPI Number | 1285343772
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Entity Type | Individual
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Provider Name | TRACY MY TUYEN TANG PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 4010 172ND ST NE
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City | ARLINGTON
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State | WA
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Zip | 98223-8482
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Country | US
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Telephone | 360-386-4615
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Fax |
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Provider Business Mailing Address
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Address Line | 2203 102ND CT SE
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City | LAKE STEVENS
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State | WA
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Zip | 98258-2112
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Country | US
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Telephone | 971-678-2356
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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 | PH61324207
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License Number State | WA
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