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General NPI Number Information
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NPI Number | 1831165489
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Entity Type | Individual
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Provider Name | SUSANNE RISING PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1055 CLERMONT ST
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City | DENVER
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State | CO
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Zip | 80220-3808
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Country | US
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Telephone | 303-399-8020
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Fax |
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Provider Business Mailing Address
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Address Line | 1930 ATHENS ST
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City | BOULDER
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State | CO
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Zip | 80302-6542
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Country | US
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Telephone | 505-235-0592
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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 | 17453
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License Number State | CO
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