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General NPI Number Information
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NPI Number | 1770906455
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Entity Type | Organization
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Legal Business Name | SEATTLE CANCER TREATMENT AND WELLNESS CENTER - PHARMACY
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Dates
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Enumeration Date | 01/30/2014
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Last Update Date | 01/30/2014
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Provider Practice Location Address
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Address Line | 900 SW 16TH ST STE 100
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City | RENTON
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State | WA
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Zip | 98057-2631
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Country | US
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Telephone | 425-204-5620
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Fax |
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Provider Business Mailing Address
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Address Line | 900 SW 16TH ST STE 100
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City | RENTON
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State | WA
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Zip | 98057-2631
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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 | PHARMACIST
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Name | MRS. LAURA LAKVOLD
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Credential |
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Telephone | 425-204-5620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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