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General NPI Number Information
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NPI Number | 1912608530
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Entity Type | Individual
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Provider Name | SYDNEY GOO PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 03/10/2023
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 1700 13TH ST
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City | EVERETT
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State | WA
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Zip | 98201-1689
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Country | US
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Telephone | 425-261-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 3616 222ND PL SE
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City | BOTHELL
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State | WA
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Zip | 98021-4222
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Country | US
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Telephone | 808-489-5509
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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 | PH61329578
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License Number State | WA
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