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General NPI Number Information
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NPI Number | 1336478221
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Entity Type | Individual
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Provider Name | TAI DAO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/23/2009
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Last Update Date | 12/23/2009
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Provider Practice Location Address
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Address Line | 14510 AURORA AVE N
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City | SHORELINE
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State | WA
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Zip | 98133-6525
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Country | US
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Telephone | 206-361-8826
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Fax | 306-363-3512
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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 | 206-306-9131
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Fax | 206-363-3512
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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 | PH00022398
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License Number State | WA
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