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General NPI Number Information
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NPI Number | 1649911538
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Entity Type | Individual
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Provider Name | AUDREY HAYDU PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 1800 NW MYHRE RD
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City | SILVERDALE
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State | WA
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Zip | 98383-7663
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Country | US
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Telephone | 564-240-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 10315 OGLE RD NE
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City | POULSBO
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State | WA
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Zip | 98370-6904
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Country | US
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Telephone | 360-649-3480
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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 | PH00039812
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License Number State | WA
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