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General NPI Number Information
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NPI Number | 1134497480
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Entity Type | Individual
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Provider Name | ROBERT STANLEY FAIKS
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Gender | Male
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 10808 W JEWELL AVE
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City | LAKEWOOD
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State | CO
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Zip | 80232-6266
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Country | US
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Telephone | 303-914-1088
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Fax |
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Provider Business Mailing Address
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Address Line | 10470 W COOPER PL
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City | LITTLETON
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State | CO
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Zip | 80127-2981
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Country | US
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Telephone | 720-951-0956
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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 | CO018327
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License Number State | CO
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