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General NPI Number Information
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NPI Number | 1740547215
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Entity Type | Individual
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Provider Name | ASHLEY MARIE BURRILL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/20/2012
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Last Update Date | 01/31/2019
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Provider Practice Location Address
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Address Line | 9040 JACKSON AVE ATTN: MCHJ-CLQ-C
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City | TACOMA
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State | WA
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Zip | 98431-1100
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Country | US
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Telephone | 253-968-0982
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Fax |
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Provider Business Mailing Address
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Address Line | 7803 225TH STREET CT E
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City | GRAHAM
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State | WA
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Zip | 98338-8242
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Country | US
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Telephone | 253-230-9897
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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 | IR 60221533
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH60560405
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License Number State | WA
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