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General NPI Number Information
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NPI Number | 1548516305
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Entity Type | Individual
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Provider Name | SANDRA DOERR PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 04/27/2015
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Provider Practice Location Address
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Address Line | 925 SENECA ST. H3-PI
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City | SEATTLE
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State | WA
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Zip | 98101
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Country | US
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Telephone | 206-583-6011
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Fax |
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Provider Business Mailing Address
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Address Line | 4115 52ND ST NE
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City | TACOMA
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State | WA
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Zip | 98422-1978
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Country | US
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Telephone | 253-335-3365
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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 | PH60285545
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License Number State | WA
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