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General NPI Number Information
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NPI Number | 1033930086
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Entity Type | Individual
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Provider Name | AMELIA TOMSHACK RN
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Gender | Female
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 200 EXEMPLA CIR
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City | LAFAYETTE
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State | CO
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Zip | 80026-3370
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Country | US
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Telephone | 303-689-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 11141 EMERSON ST
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City | NORTHGLENN
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State | CO
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Zip | 80233-3180
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Country | US
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Telephone | 720-688-7536
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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 | RN.1696805
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License Number State | CO
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