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General NPI Number Information
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NPI Number | 1447668611
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Entity Type | Organization
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Legal Business Name | WALGREENS
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Dates
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Enumeration Date | 07/31/2014
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Last Update Date | 07/31/2014
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Provider Practice Location Address
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Address Line | 20051 E SMOKY HILL RD
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City | AURORA
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State | CO
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Zip | 80015-3135
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Country | US
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Telephone | 720-876-0919
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Fax |
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Provider Business Mailing Address
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Address Line | 9766 E MEXICO AVE APT 1306
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City | AURORA
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State | CO
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Zip | 80247-6225
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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 | PHARMACIST
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Name | DR. JESSICA PAETOW
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Credential |
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Telephone | 720-998-8006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 20374
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License Number State | CO
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