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General NPI Number Information
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NPI Number | 1013873017
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Entity Type | Individual
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Provider Name | JASMIN BOVA
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Gender | Female
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 271 S ELM AVE
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City | EATON
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State | CO
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Zip | 80615-8264
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Country | US
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Telephone | 970-438-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 674 RANCHHAND DR
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City | BERTHOUD
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State | CO
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Zip | 80513-2698
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Country | US
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Telephone | 720-226-4349
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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.1001510-NP
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License Number State | CO
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