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General NPI Number Information
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NPI Number | 1619223922
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Entity Type | Individual
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Provider Name | AMANDA LYNN MCPEAK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 2324 EASTLAKE AVE E STE 400
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City | SEATTLE
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State | WA
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Zip | 98102-6539
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Country | US
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Telephone | 68-384-5902
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Fax | 68-384-5992
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Provider Business Mailing Address
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Address Line | 8340 15TH AVE NW
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City | SEATTLE
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State | WA
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Zip | 98117-3603
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Country | US
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Telephone | 206-782-7480
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Fax | 206-782-7842
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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 | IR60122617
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License Number State | WA
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