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General NPI Number Information
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NPI Number | 1386102812
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Entity Type | Organization
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Legal Business Name | PSJH PLLC
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 3828 S GRAHAM ST UNIT B
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City | SEATTLE
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State | WA
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Zip | 98118
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Country | US
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Telephone | 206-880-7768
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Fax | 206-880-7767
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Provider Business Mailing Address
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Address Line | 9330 57TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98118-5525
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Country | US
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Telephone | 206-228-8854
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PHUONG SY
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Credential | PHARMD
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Telephone | 206-228-8854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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