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General NPI Number Information
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NPI Number | 1740330836
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Entity Type | Individual
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Provider Name | JOSEPH P VANDE GRIEND PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4200 E 9TH AVE BOX C238
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City | DENVER
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State | CO
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Zip | 80262-0001
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Country | US
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Telephone | 303-315-6279
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Fax |
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Provider Business Mailing Address
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Address Line | 10000 E ALAMEDA AVE APT 320
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City | DENVER
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State | CO
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Zip | 80247-1324
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Country | US
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Telephone |
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 20193
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License Number State | IA
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