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General NPI Number Information
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NPI Number | 1851723688
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Entity Type | Individual
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Provider Name | BRANDON DALE BEELER PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2013
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Last Update Date | 08/02/2013
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Provider Practice Location Address
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Address Line | 2900 NORTH AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81504-5315
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Country | US
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Telephone | 970-208-1014
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Fax |
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Provider Business Mailing Address
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Address Line | 661 MIRANDA ST # A
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-7014
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Country | US
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Telephone | 269-270-2211
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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 | 0019943
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License Number State | CO
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