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General NPI Number Information
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NPI Number | 1699059162
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Entity Type | Individual
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Provider Name | STEVEN WAYNE CONLEY R.PH.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2011
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Last Update Date | 10/03/2011
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Provider Practice Location Address
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Address Line | 999 LAKE DR
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City | ISSAQUAH
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State | WA
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Zip | 98027-8990
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Country | US
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Telephone | 425-427-7635
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Fax | 425-313-6595
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Provider Business Mailing Address
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Address Line | 999 LAKE DR
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City | ISSAQUAH
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State | WA
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Zip | 98027-8990
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Country | US
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Telephone | 425-427-7635
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Fax | 425-313-6595
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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 | PH00011241
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License Number State | WA
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