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General NPI Number Information
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NPI Number | 1003538521
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Entity Type | Individual
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Provider Name | JAMIESON MARIE LEHTO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 1726 COLE BLVD STE 350
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City | LAKEWOOD
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State | CO
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Zip | 80401-3213
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Country | US
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Telephone | 303-403-7381
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Fax |
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Provider Business Mailing Address
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Address Line | 1575 ZAMIA AVE APT 3
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City | BOULDER
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State | CO
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Zip | 80304-4420
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Country | US
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Telephone | 720-217-7733
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0997797-NP
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License Number State | CO
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