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General NPI Number Information
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NPI Number | 1649648486
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Entity Type | Individual
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Provider Name | SHERYLLE LYNNE CADIENTE IWAKI PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 09/10/2015
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Last Update Date | 01/08/2019
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Provider Practice Location Address
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Address Line | 9155 SW BARNES RD STE 401
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City | PORTLAND
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State | OR
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Zip | 97225
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Country | US
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Telephone | 503-216-6043
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Fax | 971-712-2170
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Provider Business Mailing Address
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Address Line | 9155 SW BARNES RD STE 401
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City | PORTLAND
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State | OR
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Zip | 97225-6631
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Country | US
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Telephone | 503-216-8450
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Fax | 971-712-2170
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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 | RPH-0014338
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License Number State | OR
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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 | PH 3783
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License Number State | HI
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Taxonomy #3
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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-0014338
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License Number State | OR
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