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General NPI Number Information
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NPI Number | 1730705195
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Entity Type | Individual
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Provider Name | ELIZABETH LAUREN REECE
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Gender | Female
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Dates
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Enumeration Date | 06/22/2020
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Last Update Date | 06/22/2020
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Provider Practice Location Address
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Address Line | 4221 E MAIN ST
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City | FARMINGTON
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State | NM
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Zip | 87402-8637
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Country | US
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Telephone | 505-325-1749
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Fax | 505-325-0262
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Provider Business Mailing Address
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Address Line | 701 E 20TH ST
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City | FARMINGTON
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State | NM
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Zip | 87401-4204
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Country | US
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Telephone | 505-326-3342
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Fax | 505-325-4694
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | RP00009268
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License Number State | NM
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