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General NPI Number Information
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NPI Number | 1790992550
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Entity Type | Individual
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Provider Name | JASJIT SINGH GILL RPH
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | THE APOTHECARY PHARMACY - UNIVERSITY OF COLORADO 350 BROADWAY STE. 50
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City | BOULDER
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State | CO
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Zip | 80305
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Country | US
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Telephone | 303-499-2879
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Fax | 303-499-5308
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Provider Business Mailing Address
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Address Line | 1878 FOURMILE CANYON DR
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City | BOULDER
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State | CO
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Zip | 80302-8787
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Country | US
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Telephone | 303-499-2879
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Fax | 303-499-5308
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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 | 16490
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 050699-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS36461
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License Number State | FL
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