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General NPI Number Information
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NPI Number | 1659749380
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Entity Type | Individual
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Provider Name | CARLY AAMOTH PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 09/11/2015
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Provider Practice Location Address
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Address Line | 5431 SW BEAVERTON HILLSDALE HWY
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City | PORTLAND
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State | OR
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Zip | 97221-1918
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Country | US
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Telephone | 503-245-7231
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Fax | 503-246-1220
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Provider Business Mailing Address
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Address Line | 1920 SW HARBOR PL
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City | PORTLAND
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State | OR
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Zip | 97201-8019
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Country | US
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Telephone | 701-388-3216
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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 | RPH-0014426
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License Number State | OR
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