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General NPI Number Information
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NPI Number | 1265831291
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Entity Type | Individual
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Provider Name | BARRY PLACEK BS IN PHARMACY
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Gender | Male
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 1304 CHINOOK LN
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City | PUEBLO
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State | CO
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Zip | 81001
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Country | US
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Telephone | 719-296-6937
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Fax |
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Provider Business Mailing Address
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Address Line | 3155 ORION DR.
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City | COLORADO SPRINGS, CO
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State | CO
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Zip | 80906-0919
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Country | US
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Telephone | 402-639-9589
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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.0020548
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License Number State | CO
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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 | 10862
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License Number State | NE
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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 | 044260
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH-0010379
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License Number State | OR
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