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General NPI Number Information
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NPI Number | 1669927679
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Entity Type | Individual
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Provider Name | PEGGY OSBORN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/19/2016
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 1121 N CIRCLE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-3134
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Country | US
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Telephone | 719-673-6023
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Fax |
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Provider Business Mailing Address
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Address Line | 1382 BUFFALO TRL
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City | ELIZABETH
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State | CO
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Zip | 80107-8505
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Country | US
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Telephone | 303-646-4673
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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 | 0002005558
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License Number State | CO
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