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General NPI Number Information
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NPI Number | 1710445424
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Entity Type | Individual
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Provider Name | LINDA JEAN HOLZRICHTER RPH
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Gender | Female
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 03/12/2019
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Provider Practice Location Address
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Address Line | 1925 E ORMAN AVE STE 102
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City | PUEBLO
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State | CO
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Zip | 81004-3500
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Country | US
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Telephone | 719-557-5676
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Fax | 719-557-4767
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Provider Business Mailing Address
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Address Line | 12 OAKBRIDGE DR
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City | PUEBLO
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State | CO
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Zip | 81001-1424
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Country | US
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Telephone | 719-320-3086
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Fax | 719-557-4767
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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 | 11093
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License Number State | CO
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