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General NPI Number Information
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NPI Number | 1386018836
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Entity Type | Organization
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Legal Business Name | QUALITY FOOD CENTER
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Dates
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Enumeration Date | 11/20/2015
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Last Update Date | 11/20/2015
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Provider Practice Location Address
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Address Line | 10116 NE 8TH ST
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City | BELLEVUE
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State | WA
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Zip | 98004-4148
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Country | US
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Telephone | 425-455-3761
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Fax |
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Provider Business Mailing Address
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Address Line | 20324 140TH AVE SE
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City | KENT
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State | WA
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Zip | 98042-3061
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Country | US
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Telephone | 206-354-0027
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | KATHLEEN MARIE HENRY
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Credential | PHARMD
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Telephone | 206-354-0027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | PH60557623
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License Number State | WA
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