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General NPI Number Information
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NPI Number | 1962541029
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Entity Type | Individual
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Provider Name | AUDREY LEE MILTON
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8989 HURON ST STE 204
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City | THORNTON
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State | CO
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Zip | 80260-6858
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Country | US
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Telephone | 303-487-1146
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Fax | 303-487-1964
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Provider Business Mailing Address
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Address Line | 430 W SUTTON CIR
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City | LAFAYETTE
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State | CO
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Zip | 80026-1032
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Country | US
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Telephone | 303-487-1146
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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 | 13812
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License Number State | CO
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