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General NPI Number Information
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NPI Number | 1902627722
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Entity Type | Individual
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Provider Name | JESSIE LU PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 1100 FAIRVIEW AVE N
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City | SEATTLE
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State | WA
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Zip | 98109
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Country | US
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Telephone | 206-606-4954
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Fax |
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Provider Business Mailing Address
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Address Line | 717 NORTH 9TH ST UNIT B
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City | SEATTLE
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State | WA
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Zip | 98103
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Country | US
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Telephone | 206-734-8581
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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 | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | PH61189646
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License Number State | WA
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