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General NPI Number Information
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NPI Number | 1861755225
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Entity Type | Organization
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Legal Business Name | HEARTLAND PHARMACY - DENVER
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Dates
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Enumeration Date | 06/20/2012
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 8599 PRAIRIE TRAIL DR SUITE A300
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City | ENGLEWOOD
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State | CO
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Zip | 80112-7100
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Country | US
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Telephone | 303-248-7920
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Fax |
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Provider Business Mailing Address
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Address Line | 1790 SABIN DR SUITE C
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City | AMMON
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State | ID
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Zip | 83406-6747
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Country | US
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Telephone | 208-552-7677
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Fax | 208-552-2103
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Authorized Official
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Title or Position | EXECUTIVE ASSISTANT
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Name | ANDREA FERGUSON
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Credential |
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Telephone | 208-497-3575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | CO
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