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General NPI Number Information
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NPI Number | 1437552460
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Entity Type | Individual
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Provider Name | JUANITA LYNETTE BONNER PHARMD, RPH, BCMTMS
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Gender | Female
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Dates
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Enumeration Date | 10/05/2014
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 630 24 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1239
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Country | US
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Telephone | 970-244-8110
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Fax | 970-844-8112
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Provider Business Mailing Address
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Address Line | 630 24 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1239
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Country | US
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Telephone | 970-244-8110
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Fax | 970-244-8112
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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 | 6153
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License Number State | SD
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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 | 3680
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License Number State | WY
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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 | PHA.0020755
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License Number State | CO
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