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General NPI Number Information
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NPI Number | 1306446273
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Entity Type | Individual
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Provider Name | ALEXIS SAUCEDO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 5725 NE 138TH AVE
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City | PORTLAND
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State | OR
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Zip | 97230-3494
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Country | US
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Telephone | 503-261-7509
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Fax |
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Provider Business Mailing Address
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Address Line | 15646 SE CLATSOP ST
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-5504
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Country | US
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Telephone | 858-205-5399
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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 | PH61279365
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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 | S024626
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH001889
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License Number State | OR
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