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General NPI Number Information
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NPI Number | 1710322284
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Entity Type | Individual
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Provider Name | MICHELLE SWENSON WELCH RPH
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Gender | Female
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Dates
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Enumeration Date | 05/09/2013
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 18 E FRONT ST
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City | SAINT JOHN
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State | WA
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Zip | 99171-8775
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Country | US
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Telephone | 509-648-3430
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Fax | 509-648-3217
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Provider Business Mailing Address
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Address Line | 351 W CARBURY ST
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City | TEKOA
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State | WA
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Zip | 99033-9789
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Country | US
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Telephone | 509-648-3430
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Fax | 509-648-3217
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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 | 16990
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License Number State | WA
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