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General NPI Number Information
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NPI Number | 1801140512
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Entity Type | Individual
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Provider Name | DOMINICK A SICARI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2012
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 325 9TH AVE
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City | SEATTLE
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State | WA
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Zip | 98104-2420
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Country | US
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Telephone | 206-668-9845
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Fax |
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Provider Business Mailing Address
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Address Line | 1783 12TH AVE NE
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City | ISSAQUAH
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State | WA
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Zip | 98029-6923
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH70944
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License Number State | CA
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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 | PH60935555
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License Number State | WA
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