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General NPI Number Information
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NPI Number | 1023681129
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Entity Type | Individual
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Provider Name | KRISTINA DANOVICH LANE NP
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Gender | Female
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Dates
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Enumeration Date | 07/19/2021
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 180 E HAMPDEN AVE STE 100
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2517
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Country | US
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Telephone | 303-789-4968
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Fax |
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Provider Business Mailing Address
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Address Line | 180 E HAMPDEN AVE STE 100
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2517
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Country | US
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Telephone | 303-789-4968
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 0003078-C-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 0997244-NP
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License Number State | CO
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