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General NPI Number Information
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NPI Number | 1023927027
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Entity Type | Individual
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Provider Name | WENDY TILLMAN RN
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Gender | Female
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 1020 JOHNSON RD
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City | GOLDEN
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State | CO
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Zip | 80401-6002
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Country | US
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Telephone | 720-723-5114
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Fax |
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Provider Business Mailing Address
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Address Line | 8415 LAMAR DR
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City | ARVADA
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State | CO
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Zip | 80003-1356
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Country | US
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Telephone | 303-898-0776
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | RN0187398
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License Number State | CO
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