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General NPI Number Information
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NPI Number | 1629485800
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Entity Type | Individual
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Provider Name | AMANDA JEAN FICK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2014
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Last Update Date | 03/28/2015
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Provider Practice Location Address
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Address Line | 1375 S BOULDER RD
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City | LOUISVILLE
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State | CO
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Zip | 80027-2344
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Country | US
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Telephone | 303-673-1818
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Fax | 303-673-1981
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Provider Business Mailing Address
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Address Line | 12345 W 61ST AVE
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City | ARVADA
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State | CO
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Zip | 80004-4118
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Country | US
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Telephone | 720-628-1548
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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 | PHA19154
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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 | 1-15571
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License Number State | KS
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