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General NPI Number Information
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NPI Number | 1225793730
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Entity Type | Individual
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Provider Name | KYLE BURNS RPH
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Gender | Male
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 1575 W 84TH AVE
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City | FEDERAL HEIGHTS
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State | CO
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Zip | 80260-4786
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Country | US
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Telephone | 303-427-9176
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Fax |
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Provider Business Mailing Address
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Address Line | 5170 OSCEOLA ST
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City | DENVER
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State | CO
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Zip | 80212-2604
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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 |
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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.0023827
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License Number State | CO
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