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General NPI Number Information
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NPI Number | 1720153554
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Entity Type | Individual
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Provider Name | BEATRICE F EISENBERG RPH, PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5303 PACIFIC HWY E
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City | FIFE
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State | WA
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Zip | 98424-2601
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Country | US
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Telephone | 253-922-0222
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Fax |
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Provider Business Mailing Address
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Address Line | 33803 32ND CT SW
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City | FEDERAL WAY
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State | WA
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Zip | 98023-7743
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Country | US
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Telephone | 253-874-2983
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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 | PH00014568
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License Number State | WA
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