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General NPI Number Information
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NPI Number | 1447656459
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Entity Type | Individual
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Provider Name | IZABELA ANGELICA CHAMOT PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 11/18/2014
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Provider Practice Location Address
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Address Line | 1601 E FOURTH PLAIN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98661-3753
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Country | US
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Telephone | 503-220-8262
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Fax |
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Provider Business Mailing Address
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Address Line | 9517 NE HAZEL DELL AVE APT 64
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City | VANCOUVER
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State | WA
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Zip | 98665-8007
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Country | US
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Telephone | 541-908-5116
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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 | RPH-0013216
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License Number State | OR
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