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General NPI Number Information
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NPI Number | 1306119193
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Entity Type | Individual
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Provider Name | STEPHANIE NGA LE RPH
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Gender | Female
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Dates
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Enumeration Date | 02/09/2012
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Last Update Date | 02/09/2012
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Provider Practice Location Address
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Address Line | 4615 196TH ST SW STE 114 FRED MEYER - REGIONAL OFFICE
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City | LYNNWOOD
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State | WA
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Zip | 98036-5591
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Country | US
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Telephone | 425-582-4059
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Fax |
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Provider Business Mailing Address
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Address Line | 1215 NE 148TH ST
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City | SHORELINE
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State | WA
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Zip | 98155-7135
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Country | US
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Telephone | 206-850-7276
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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 | PH00020041
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License Number State | WA
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