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General NPI Number Information
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NPI Number | 1568742005
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Entity Type | Individual
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Provider Name | LAURIE ARNOLD
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Gender | Female
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Dates
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Enumeration Date | 08/27/2011
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Last Update Date | 08/27/2011
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Provider Practice Location Address
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Address Line | 1502 LAKE TAPPS PKWY SE
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City | AUBURN
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State | WA
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Zip | 98092-8227
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Country | US
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Telephone | 253-394-0019
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Fax |
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Provider Business Mailing Address
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Address Line | 1729 24TH AVE NE
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City | ISSAQUAH
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State | WA
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Zip | 98029-7385
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Country | US
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Telephone | 480-907-4774
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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 | PH60182055
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License Number State | WA
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