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General NPI Number Information
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NPI Number | 1699396481
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Entity Type | Individual
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Provider Name | HENRY ANTHONY CASTER JR. PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/03/2020
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 1615 PLATTE ST
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City | DENVER
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State | CO
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Zip | 80202-1581
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Country | US
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Telephone | 513-205-1109
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Fax |
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Provider Business Mailing Address
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Address Line | 2105 BUCHTEL BLVD APT 310
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City | DENVER
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State | CO
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Zip | 80210-3477
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Country | US
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Telephone | 513-205-1109
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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 | 0022897
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License Number State | CO
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