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General NPI Number Information
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NPI Number | 1790447415
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Entity Type | Individual
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Provider Name | NASIM DEHKORDI PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/11/2021
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Last Update Date | 10/11/2021
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Provider Practice Location Address
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Address Line | 20051 E SMOKY HILL RD
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City | CENTENNIAL
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State | CO
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Zip | 80015-3135
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Country | US
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Telephone | 720-876-0919
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Fax |
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Provider Business Mailing Address
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Address Line | 20051 E SMOKY HILL RD
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City | CENTENNIAL
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State | CO
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Zip | 80015-3135
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Country | US
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Telephone | 720-876-0919
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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.0023776
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License Number State | CO
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