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General NPI Number Information
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NPI Number | 1689396228
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Entity Type | Individual
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Provider Name | VERONICA AMBER COBLENTZ PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 5001 MONTGOMERY BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-1308
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Country | US
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Telephone | 505-881-5210
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Fax |
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Provider Business Mailing Address
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Address Line | 7135 RALEIGH HILLS DR NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-8694
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Country | US
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Telephone | 505-270-6494
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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 | RP00009735
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License Number State | NM
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