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General NPI Number Information
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NPI Number | 1871831297
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Entity Type | Individual
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Provider Name | AMY H MAI RPH
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Gender | Female
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Dates
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Enumeration Date | 01/18/2013
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 15995 SW WALKER RD
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City | BEAVERTON
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State | OR
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Zip | 97006
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Country | US
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Telephone | 503-690-5833
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Fax | 503-690-5827
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Provider Business Mailing Address
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Address Line | 1143 NW TURNBERRY TERRACE
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City | BEAVERTON
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State | OR
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Zip | 97006
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Country | US
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Telephone | 503-690-5833
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Fax | 503-690-5827
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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 | RPH-0009430
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RPH-0009430
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License Number State | OR
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