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General NPI Number Information
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NPI Number | 1760340608
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Entity Type | Individual
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Provider Name | TALYAH MARIE MCLENNAN CPHT
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 801 AUBURN WAY N
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City | AUBURN
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State | WA
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Zip | 98002-4164
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Country | US
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Telephone | 253-931-5550
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Fax |
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Provider Business Mailing Address
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Address Line | 11100 SE PETROVITSKY RD APT S101
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City | RENTON
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State | WA
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Zip | 98055-5639
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Country | US
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Telephone |
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | VA.700.788.62
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License Number State | WA
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