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General NPI Number Information
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NPI Number | 1003111576
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Entity Type | Individual
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Provider Name | VERONICA ETHEL BARTLETT FNP, MS-RN
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Gender | Female
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Dates
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Enumeration Date | 01/14/2011
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 2215 SAN JUAN AVE
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City | LA JUNTA
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State | CO
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Zip | 81050
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Country | US
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Telephone | 719-383-0445
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Fax | 719-383-0448
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Provider Business Mailing Address
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Address Line | P.O. BOX 1081
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City | LA JUNTA
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State | CO
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Zip | 81050
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Country | US
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Telephone | 719-383-0445
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Fax | 719-383-0448
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0010351-NP
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License Number State | CO
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