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General NPI Number Information
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NPI Number | 1972568897
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Entity Type | Individual
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Provider Name | MELISSA LOUISE O'DONNELL PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 821 S 38TH ST
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City | TACOMA
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State | WA
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Zip | 98418-5028
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Country | US
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Telephone | 253-473-1155
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Fax | 253-473-1158
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Provider Business Mailing Address
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Address Line | 905 ESKRIDGE BLVD SE
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City | OLYMPIA
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State | WA
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Zip | 98501-3554
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Country | US
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Telephone | 253-473-1155
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Fax | 253-473-1158
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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 | PH00039044
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License Number State | WA
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