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General NPI Number Information
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NPI Number | 1477081404
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Entity Type | Individual
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Provider Name | PATRICIA ANN WRIGHT RPH
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Gender | Female
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Dates
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Enumeration Date | 06/03/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 4770 LARIMER PKWY
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City | JOHNSTOWN
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State | CO
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Zip | 80534-8918
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Country | US
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Telephone | 970-800-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 4470 GRINNELL AVE
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City | BOULDER
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State | CO
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Zip | 80305-6613
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Country | US
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Telephone | 303-499-1052
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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 | 14128
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License Number State | CO
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