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General NPI Number Information
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NPI Number | 1215582424
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Entity Type | Individual
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Provider Name | ANDREA MINH CROW PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/05/2019
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 905 HIGHWAY 133 CITY MARKET PHARMACY
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City | CARBONDALE
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State | CO
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Zip | 81623
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Country | US
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Telephone | 970-233-5208
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Fax | 970-233-5209
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Provider Business Mailing Address
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Address Line | 905 HIGHWAY 133
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City | CARBONDALE
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State | CO
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Zip | 81623
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Country | US
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Telephone | 970-233-5208
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Fax | 970-233-5209
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 11281620-1721
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License Number State | UT
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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 | 11281620-1721
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0023087
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License Number State | CO
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