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General NPI Number Information
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NPI Number | 1811297617
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Entity Type | Individual
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Provider Name | PAUL MICHAEL O'REILLY PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 10105 224TH ST E
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City | GRAHAM
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State | WA
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Zip | 98338-9190
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Country | US
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Telephone | 253-847-7634
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Fax | 253-847-7635
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Provider Business Mailing Address
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Address Line | 11128 184TH ST E
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City | PUYALLUP
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State | WA
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Zip | 98374-8849
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Country | US
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Telephone | 253-847-3843
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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 | PH00021437
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License Number State | WA
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