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General NPI Number Information
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NPI Number | 1396506036
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Entity Type | Organization
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Legal Business Name | KLMLABS
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Dates
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Enumeration Date | 01/19/2024
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 6110 GREENWOOD PLAZA BLVD
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4803
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Country | US
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Telephone | 800-501-0619
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Fax |
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Provider Business Mailing Address
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Address Line | 2079 ALBION ST
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City | DENVER
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State | CO
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Zip | 80207-3705
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Country | US
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Telephone | 720-260-1190
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MR. TONY EUGENE JONES
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Credential | PHARMACIST
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Telephone | 800-501-0619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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