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General NPI Number Information
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NPI Number | 1396269874
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Entity Type | Individual
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Provider Name | MARK S. HOPPER PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 03/22/2019
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Provider Practice Location Address
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Address Line | 1821 E BRIDGE ST
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City | BRIGHTON
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State | CO
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Zip | 80601-1935
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Country | US
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Telephone | 720-685-3099
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 ROCKMONT DR APT 16203
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City | DENVER
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State | CO
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Zip | 80202-2189
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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 | 23110
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License Number State | IA
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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 | 21811
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License Number State | CO
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