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General NPI Number Information
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NPI Number | 1881119709
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Entity Type | Individual
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Provider Name | LYNA FU RPH
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Gender | Female
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Dates
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Enumeration Date | 08/11/2017
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 854 N 145TH LN
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City | SHORELINE
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State | WA
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Zip | 98133-6443
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Country | US
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Telephone | 206-760-9325
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Fax |
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Provider Business Mailing Address
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Address Line | 800 LAKE DRIVE
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City | ISSAQUAH
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State | WA
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Zip | 98027
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Country | US
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Telephone | 866-818-2368
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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 | PH60752119
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License Number State | WA
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