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General NPI Number Information
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NPI Number | 1205345865
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Entity Type | Individual
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Provider Name | LAUREN MICHELLE GOVER PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 09/27/2017
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Last Update Date | 09/09/2019
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Provider Practice Location Address
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Address Line | 403 HIGHWAY 24 S
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City | BUENA VISTA
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State | CO
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Zip | 81211
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Country | US
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Telephone | 719-395-2481
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Fax | 719-394-2484
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Provider Business Mailing Address
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Address Line | PO BOX 1670
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City | BUENA VISTA
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State | CO
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Zip | 81211-1670
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Country | US
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Telephone | 719-395-2481
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Fax | 719-394-2484
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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 | 1-103151
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License Number State | KS
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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 | 22156
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License Number State | CO
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