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General NPI Number Information
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NPI Number | 1962316133
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Entity Type | Organization
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Legal Business Name | DEDMANPHARMACIES@GMAIL.COM
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 138 S PARK SQ STE 101
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City | FRUITA
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State | CO
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Zip | 81521-2541
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Country | US
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Telephone | 970-270-0524
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Fax |
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Provider Business Mailing Address
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Address Line | 770 PONDEROSA DR
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City | FRUITA
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State | CO
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Zip | 81521-9616
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Country | US
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Telephone | 970-270-0524
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY K DEDMAN
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Credential | PHARM.D.
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Telephone | 970-270-0524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | NULL
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