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General NPI Number Information
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NPI Number | 1821435405
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Entity Type | Individual
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Provider Name | CAMERON KOPATZ PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2013
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Last Update Date | 05/23/2013
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Provider Practice Location Address
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Address Line | 1825 CENTRAL PARK DR.
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80477
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Country | US
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Telephone | 970-879-7317
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Fax | 970-879-5895
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Provider Business Mailing Address
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Address Line | PO BOX 773570
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80477-3570
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Country | US
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Telephone | 970-879-7371
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Fax | 970-879-5895
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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 | 17055
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License Number State | CO
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