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General NPI Number Information
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NPI Number | 1861543621
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Entity Type | Individual
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Provider Name | DON ALLAN COLCORD RPH
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 480 MAIN
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City | NUCLA
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State | CO
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Zip | 81424-0429
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Country | US
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Telephone | 970-864-2100
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Fax | 970-864-7926
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Provider Business Mailing Address
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Address Line | 480 MAIN ST. PO BOX 429
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City | NUCLA
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State | CO
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Zip | 81424-0429
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Country | US
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Telephone | 970-864-2100
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Fax | 970-864-7926
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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 | 10164
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License Number State | CO
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