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General NPI Number Information
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NPI Number | 1538146329
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Entity Type | Individual
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Provider Name | RICHARD LEE STURSA RPH
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Gender | Male
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4706 42ND AVE SW
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City | SEATTLE
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State | WA
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Zip | 98116-4500
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Country | US
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Telephone | 206-932-8045
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2586
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City | ISSAQUAH
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State | WA
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Zip | 98027-0118
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Country | US
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Telephone | 425-392-3363
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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 | PH00009327
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License Number State | WA
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