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General NPI Number Information
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NPI Number | 1720425457
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Entity Type | Individual
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Provider Name | ROBERT COLVARD RPH
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Gender | Male
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Dates
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Enumeration Date | 06/04/2013
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | 6064 MARSHA SHARP FWY
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City | LUBBOCK
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State | TX
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Zip | 79407-3726
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Country | US
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Telephone | 806-788-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 74TH ST
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City | LUBBOCK
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State | TX
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Zip | 79424-2407
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Country | US
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Telephone | 806-794-4058
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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 | 31033
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License Number State | TX
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