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General NPI Number Information
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NPI Number | 1679373567
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Entity Type | Individual
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Provider Name | ERIC PETERSON PHARMD
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Gender | Male
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 469 CO-7
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City | BROOMFIELD
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State | CO
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Zip | 80023
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Country | US
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Telephone | 720-478-4404
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Fax |
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Provider Business Mailing Address
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Address Line | 13790 FRANKLIN ST
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City | BRIGHTON
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State | CO
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Zip | 80602-6356
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Country | US
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Telephone | 303-960-1014
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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 | 022217
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License Number State | CO
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