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General NPI Number Information
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NPI Number | 1386339067
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Entity Type | Individual
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Provider Name | JEANNIE Y SMITH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/07/2023
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 121 N DIVISION ST STE 100
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City | AUBURN
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State | WA
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Zip | 98001-4931
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Country | US
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Telephone | 253-876-8224
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Fax | 253-876-8222
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Provider Business Mailing Address
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Address Line | 16811 SE 331ST ST
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City | AUBURN
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State | WA
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Zip | 98092-5933
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Country | US
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Telephone | 253-347-1009
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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 | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | PH00040581
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License Number State | WA
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