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General NPI Number Information
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NPI Number | 1407064363
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Entity Type | Individual
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Provider Name | ANGEL PAK PHARMACY TECHNICIAN
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 720 7TH AVE #100
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City | SEATTLE
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State | WA
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Zip | 98104
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Country | US
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Telephone | 206-838-6070
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Fax | 206-838-9775
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Provider Business Mailing Address
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Address Line | 1700 SW 107TH ST APT 202
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City | SEATTLE
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State | WA
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Zip | 98146-2070
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Country | US
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Telephone | 206-330-7207
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 59638
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License Number State | WA
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