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General NPI Number Information
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NPI Number | 1578848271
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Entity Type | Individual
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Provider Name | KATINA SIGILLO R.PH.
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Gender | Female
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 1121 124TH AVE NE
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City | BELLEVUE
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State | WA
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Zip | 98005-2101
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Country | US
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Telephone | 209-612-8205
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 124TH AVE NE
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City | BELLEVUE
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State | WA
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Zip | 98005-2101
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Country | US
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Telephone | 209-612-8205
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PH 60187221
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License Number State | WA
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Taxonomy #2
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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 | RPH-0012621
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License Number State | OR
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