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General NPI Number Information
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NPI Number | 1154421493
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Entity Type | Organization
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Legal Business Name | EL PASO COUNTY
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 27 E VERMIJO AVE STE 005
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-2208
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Country | US
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Telephone | 719-520-7593
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Fax | 719-520-7596
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Provider Business Mailing Address
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Address Line | 320 S POLK ST STE 100
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City | AMARILLO
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State | TX
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Zip | 79101-1436
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE CLERK
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Name | RHONDA JAQUES
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Credential | AAS
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Telephone | 806-324-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 587
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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