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General NPI Number Information
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NPI Number | 1922725209
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Entity Type | Individual
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Provider Name | AUBREE SUDHA REDDY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 3505 AUSTIN BLUFFS PKWY STE 101
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-5754
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Country | US
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Telephone | 800-888-9358
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Fax |
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Provider Business Mailing Address
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Address Line | 11136 CYPRESS TREE PT APT 108
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-7707
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Country | US
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Telephone | 214-604-9635
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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 | 69873
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 23925
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License Number State | CO
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