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General NPI Number Information
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NPI Number | 1780229070
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Entity Type | Individual
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Provider Name | ELIZABETH M KHONG PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 01/07/2020
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Provider Practice Location Address
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Address Line | 9970 WADSWORTH PKWY
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City | WESTMINSTER
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State | CO
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Zip | 80021-4248
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Country | US
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Telephone | 303-439-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 6184 QUITMAN ST
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City | ARVADA
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State | CO
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Zip | 80003-6732
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Country | US
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Telephone | 303-725-1146
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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.0022051
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License Number State | CO
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