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General NPI Number Information
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NPI Number | 1558813931
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Entity Type | Individual
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Provider Name | AMAL SHAWISH
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Gender | Female
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Dates
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Enumeration Date | 11/01/2016
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | 1400 164TH ST SW
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City | LYNNWOOD
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State | WA
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Zip | 98087-8515
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Country | US
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Telephone | 425-741-3646
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Fax |
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Provider Business Mailing Address
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Address Line | 4401 186TH PL SE
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City | BOTHELL
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State | WA
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Zip | 98012-8856
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Country | US
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Telephone | 425-949-6768
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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 | IR60574215
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH60713343
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License Number State | WA
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