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NPI 1003361056

NPI 1003361056 : ELIZABETH LE PHARMD : LITTLETON, CO

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General NPI Number Information
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    NPI Number           |    1003361056
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH LE PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2016
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    Last Update Date     |    08/19/2016
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Provider Practice Location Address
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    Address Line         |    10668 W PARKHILL AVE 
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    City                 |    LITTLETON
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    State                |    CO
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    Zip                  |    80127-5549
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    Country              |    US
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    Telephone            |    303-323-5054
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10668 W PARKHILL AVE 
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    City                 |    LITTLETON
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    State                |    CO
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    Zip                  |    80127-5549
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    Country              |    US
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    Telephone            |    303-323-5054
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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        |    1835P2201X
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    Taxonomy Name        |    Ambulatory Care Pharmacist
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    License Number       |    RPH-0014406
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    1835P2201X
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    Taxonomy Name        |    Ambulatory Care Pharmacist
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    License Number       |    PHA.0020479
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    License Number State |    CO
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