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General NPI Number Information
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NPI Number | 1770360992
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Entity Type | Individual
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Provider Name | AMY NICOLE WALTERS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 1601 E 19TH AVE STE 4650
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City | DENVER
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State | CO
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Zip | 80218-1253
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Country | US
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Telephone | 303-656-4656
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Fax |
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Provider Business Mailing Address
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Address Line | 4451 S AMMONS ST UNIT 1-302
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City | LITTLETON
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State | CO
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Zip | 80123-5451
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Country | US
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Telephone | 720-878-4425
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PHA.0022042
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License Number State | CO
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