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General NPI Number Information
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NPI Number | 1548635659
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Entity Type | Individual
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Provider Name | CHRISTOPHER PERKINS
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Gender | Male
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 12/01/2015
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Provider Practice Location Address
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Address Line | 1995 E COALTON RD APT 4-101
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City | SUPERIOR
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State | CO
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Zip | 80027-4465
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Country | US
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Telephone | 307-259-1999
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Fax |
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Provider Business Mailing Address
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Address Line | 1995 E COALTON RD APT 4-101
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City | SUPERIOR
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State | CO
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Zip | 80027-4465
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Country | US
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Telephone | 307-259-1999
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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 | PHA.0019564
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License Number State | CO
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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 | 3291
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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 | 12277
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 46689
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License Number State | TX
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