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General NPI Number Information
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NPI Number | 1023312691
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Entity Type | Individual
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Provider Name | DENISE MICHELE SHINE RN
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Gender | Female
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Dates
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Enumeration Date | 12/22/2010
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 2301 LAWRENCE ST
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City | DENVER
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State | CO
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Zip | 80205-2126
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Country | US
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Telephone | 303-587-6148
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Fax | 303-296-1306
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Provider Business Mailing Address
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Address Line | 2301 LAWRENCE ST
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City | DENVER
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State | CO
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Zip | 80205-2126
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 183066
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License Number State | CO
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