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General NPI Number Information
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NPI Number | 1023610516
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Entity Type | Individual
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Provider Name | MS. JACQUELINE AVILA
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Gender | Female
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 2795 N SPEER BLVD STE 11
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City | DENVER
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State | CO
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Zip | 80211-4269
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Country | US
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Telephone | 303-800-1821
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Fax |
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Provider Business Mailing Address
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Address Line | 7761 SHAFFER PKWY STE 220
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City | LITTLETON
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State | CO
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Zip | 80127-3731
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Country | US
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Telephone | 303-800-1821
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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 | 127520
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.1000255
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License Number State | CO
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