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General NPI Number Information
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NPI Number | 1932918406
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Entity Type | Individual
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Provider Name | NARIYANNE DY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 1601 W US HIGHWAY 50
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City | PUEBLO
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State | CO
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Zip | 81008-1690
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Country | US
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Telephone | 719-543-5921
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Fax |
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Provider Business Mailing Address
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Address Line | 5304 OUTLOOK BLVD UNIT 206
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City | PUEBLO
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State | CO
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Zip | 81008-1382
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Country | US
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Telephone | 719-250-1885
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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 | PHA0025068
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License Number State | CO
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