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NPI 1588910905

NPI 1588910905 : GAYATRI SINGH RPH : LONGMONT, CO

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General NPI Number Information
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    NPI Number           |    1588910905
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    Entity Type          |    Individual 
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    Provider Name        |    GAYATRI SINGH RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/03/2012
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    Last Update Date     |    05/21/2021
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Provider Practice Location Address
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    Address Line         |    1200 S HOVER ST 
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    City                 |    LONGMONT
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    State                |    CO
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    Zip                  |    80501-7902
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    Country              |    US
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    Telephone            |    303-845-4223
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    900 ELDORADO LN 
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    City                 |    LOUISVILLE
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    State                |    CO
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    Zip                  |    80027-3107
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    Country              |    US
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    Telephone            |    303-666-9264
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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        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    13825
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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       |    13825
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    License Number State |    CO
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