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NPI 1750594511

NPI 1750594511 : RACHANA J PATEL : RENTON, WA

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General NPI Number Information
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    NPI Number           |    1750594511
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    Entity Type          |    Individual 
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    Provider Name        |    RACHANA J PATEL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/08/2007
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    Last Update Date     |    12/11/2008
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Provider Practice Location Address
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    Address Line         |    14215 SE PETROVITSKY RD 
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    City                 |    RENTON
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    State                |    WA
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    Zip                  |    98058-8983
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    Country              |    US
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    Telephone            |    425-235-7772
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    Fax                  |    425-226-8099
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Provider Business Mailing Address
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    Address Line         |    14215 SE PETROVITSKY RD 
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    City                 |    RENTON
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    State                |    WA
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    Zip                  |    98058-8983
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    Country              |    US
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    Telephone            |    425-235-7772
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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       |    PH00059646
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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       |    28RI03260600
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    License Number State |    NJ
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Taxonomy #3
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    17550
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    License Number State |    MD
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Taxonomy #4
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    RP442642
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    License Number State |    PA
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