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General NPI Number Information
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NPI Number | 1568718773
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Entity Type | Individual
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Provider Name | KATELYN ELIZABETH YLITALO PHARM. D
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Gender | Female
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 110 OREGON AVE S.
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City | LONG BEACH
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State | WA
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Zip | 98631
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Country | US
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Telephone | 360-642-1250
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Fax | 883-082-8788
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Provider Business Mailing Address
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Address Line | 106 LINCOLN ST
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City | SITKA
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State | AK
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Zip | 99835-7540
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Country | US
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Telephone | 907-966-2110
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Fax | 907-966-2190
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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 | PS50522
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License Number State | FL
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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 | 2032
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 055715
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License Number State | NY
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Taxonomy #4
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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 | 61173890
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 61173890
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License Number State | WA
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