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General NPI Number Information
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NPI Number | 1922751270
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Entity Type | Individual
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Provider Name | CARSON CHANDLER DOBBS
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Gender | Male
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 1835 E MAIN ST
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City | CORTEZ
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State | CO
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Zip | 81321-3037
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Country | US
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Telephone | 970-565-7038
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Fax |
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Provider Business Mailing Address
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Address Line | 296 NORTH RD
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City | DURANGO
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State | CO
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Zip | 81303-6429
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Country | US
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Telephone | 256-738-0400
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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 | 0024935
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License Number State | CO
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