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General NPI Number Information
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NPI Number | 1003187170
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Entity Type | Individual
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Provider Name | TRENT DALE BARNES RPH
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Gender | Male
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Dates
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Enumeration Date | 01/22/2012
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Last Update Date | 09/04/2014
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Provider Practice Location Address
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Address Line | 6675 BUSINESS CENTER DR
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80130-3601
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Country | US
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Telephone | 719-248-0231
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Fax |
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Provider Business Mailing Address
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Address Line | 10614 KICKING HORSE DR
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City | LITTLETON
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State | CO
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Zip | 80125-7950
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Country | US
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Telephone | 719-248-0231
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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 | 11037
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License Number State | CO
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