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General NPI Number Information
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NPI Number | 1669856522
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Entity Type | Individual
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Provider Name | BASEM ELSAYED RPH. LICENSE
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Gender | Male
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 07/10/2015
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Provider Practice Location Address
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Address Line | 4010 172ND ST NE
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City | ARLINGTON
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State | WA
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Zip | 98223-8482
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Country | US
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Telephone | 360-386-4608
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Fax |
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Provider Business Mailing Address
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Address Line | 20721 OLYMPIC PL NE APT A112
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City | ARLINGTON
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State | WA
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Zip | 98223-4861
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Country | US
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Telephone | 206-883-7171
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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 | PH60482957
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License Number State | WA
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