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General NPI Number Information
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NPI Number | 1477078236
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Entity Type | Individual
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Provider Name | EMILY MY AN THI TRAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2017
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Last Update Date | 07/16/2022
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Provider Practice Location Address
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Address Line | 6414 NE BOTHELL WAY
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City | KENMORE
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State | WA
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Zip | 98028-4819
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Country | US
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Telephone | 425-486-7711
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Fax |
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Provider Business Mailing Address
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Address Line | 388 RODEO CT
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City | SAN JOSE
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State | CA
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Zip | 95111-2250
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Country | US
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Telephone | 408-667-1887
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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 | PH60758382
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PH60758382
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License Number State | WA
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