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General NPI Number Information
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NPI Number | 1346803707
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Entity Type | Individual
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Provider Name | EMMALEE THORNTON PHARMD, BCPS
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Gender | Female
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Dates
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Enumeration Date | 04/20/2019
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Last Update Date | 04/20/2019
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Provider Practice Location Address
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Address Line | 725 S WAHANNA RD
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City | SEASIDE
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State | OR
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Zip | 97138-7735
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Country | US
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Telephone | 503-717-7380
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Fax |
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Provider Business Mailing Address
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Address Line | 8900 SW SWEEK DR APT 821
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City | TUALATIN
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State | OR
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Zip | 97062-7491
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Country | US
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Telephone |
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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 | PH60774622
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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 | RPH-0015495
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License Number State | OR
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