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General NPI Number Information
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NPI Number | 1104282276
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Entity Type | Individual
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Provider Name | HALEY NICOLE ROUNSAVILLE
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Gender | Female
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 2205 W WILDCAT RESERVE PKWY
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-5496
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Country | US
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Telephone | 720-344-0334
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Fax | 720-344-4348
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Provider Business Mailing Address
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Address Line | 2205 W WILDCAT RESERVE PKWY
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-5496
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Country | US
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Telephone | 720-344-0334
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Fax | 720-344-4348
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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 | PHA.0023158
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S024180
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License Number State | AZ
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