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General NPI Number Information
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NPI Number | 1538441464
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Entity Type | Individual
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Provider Name | KATHARINE ELIZABETH FORNEY PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 8705 LEXINGTON DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-4309
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Country | US
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Telephone | 719-282-7797
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Fax |
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Provider Business Mailing Address
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Address Line | 4512 CONTINENTAL HTS APT 209
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City | COLORADO SPRINGS
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State | CO
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Zip | 80924-1240
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Country | US
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Telephone | 607-745-8886
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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 | 056015
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License Number State | NY
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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 | PHA.0023461
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License Number State | CO
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