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General NPI Number Information
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NPI Number | 1972474575
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Entity Type | Individual
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Provider Name | DAVID PRESTON
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Gender | Male
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1905 BLAKE AVE
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4288
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Country | US
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Telephone | 970-384-7711
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Fax |
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Provider Business Mailing Address
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Address Line | 3116 HAGER LN
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4089
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Country | US
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Telephone |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 0020761
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License Number State | CO
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