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General NPI Number Information
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NPI Number | 1033665419
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Entity Type | Individual
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Provider Name | JEANNEE L. SANDERS NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 17230 JACKSON CREEK PKWY STE 260
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City | MONUMENT
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State | CO
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Zip | 80132-7305
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Country | US
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Telephone | 719-776-4740
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Fax | 719-776-4750
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Provider Business Mailing Address
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Address Line | 17230 JACKSON CREEK PKWY STE 260
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City | MONUMENT
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State | CO
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Zip | 80132-7305
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Country | US
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Telephone | 719-776-4740
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Fax | 719-776-4750
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.09927-13NP
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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.09927-13NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 163WX0800X
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Taxonomy Name | Orthopedic Registered Nurse
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License Number | 0125865
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License Number State | CO
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