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General NPI Number Information
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NPI Number | 1861775025
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Entity Type | Individual
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Provider Name | ALICE OMOLABAKE SOREMEKUN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/23/2011
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 4809 ARGONNE ST STE 155
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City | DENVER
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State | CO
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Zip | 80249-6834
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Country | US
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Telephone | 720-583-2110
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Fax | 720-583-0326
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Provider Business Mailing Address
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Address Line | 19173 E LASALLE PL
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City | AURORA
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State | CO
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Zip | 80013-6455
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Country | US
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Telephone | 303-246-5013
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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 | PHA.0018533
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License Number State | CO
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