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General NPI Number Information
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NPI Number | 1215606348
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Entity Type | Individual
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Provider Name | CHRISTIAN HODGE PHARM D
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Gender | Female
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Dates
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Enumeration Date | 09/11/2021
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Last Update Date | 09/11/2021
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Provider Practice Location Address
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Address Line | 1985 SHERIDAN BLVD
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City | EDGEWATER
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State | CO
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Zip | 80214-1325
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Country | US
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Telephone | 720-274-3666
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Fax |
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Provider Business Mailing Address
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Address Line | 4728 TRUCKEE ST
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City | DENVER
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State | CO
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Zip | 80249-8692
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Country | US
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Telephone | 856-571-5335
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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 | PHA.0020703
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License Number State | CO
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