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General NPI Number Information
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NPI Number | 1568073054
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Entity Type | Individual
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Provider Name | BRANDI REINHART PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/10/2020
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Last Update Date | 08/10/2020
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Provider Practice Location Address
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Address Line | 2601 S LEMAY AVE UNIT 42
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City | FORT COLLINS
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State | CO
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Zip | 80525-2247
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Country | US
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Telephone | 970-225-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 6527 PUMPKIN RIDGE DR
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City | WINDSOR
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State | CO
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Zip | 80550-7021
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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 |
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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 | 16311
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 16311
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License Number State | CO
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