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General NPI Number Information
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NPI Number | 1689122616
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Entity Type | Individual
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Provider Name | ROBIN MCDOLE RPH
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Gender | Male
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Dates
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Enumeration Date | 09/20/2016
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Last Update Date | 01/06/2017
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Provider Practice Location Address
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Address Line | 2875 NW STUCKI AVE
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City | HILLSBORO
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State | OR
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Zip | 97124-5806
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Country | US
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Telephone | 866-280-0255
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Fax |
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Provider Business Mailing Address
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Address Line | 35752 RIDGEWAY LOOP
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City | SAINT HELENS
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State | OR
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Zip | 97051-3437
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Country | US
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Telephone | 360-903-8432
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 0008192
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License Number State | OR
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