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General NPI Number Information
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NPI Number | 1720683295
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Entity Type | Individual
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Provider Name | TEGAN KYLA STEIMEL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/02/2020
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 504 28 1/4 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-4993
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Country | US
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Telephone | 970-341-0035
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Fax |
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Provider Business Mailing Address
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Address Line | 708 WASHINGTON CT
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City | GRAND JUNCTION
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State | CO
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Zip | 81507-9590
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Country | US
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Telephone | 602-531-7384
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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 | PHA.22205
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License Number State | CO
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