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General NPI Number Information
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NPI Number | 1043019946
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Entity Type | Individual
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Provider Name | BRANDON RYAN DUNN NURSE PRACTITIONER
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Gender | Male
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1923 W COLORADO AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-3838
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Country | US
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Telephone | 303-600-8563
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Fax | 877-805-7372
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Provider Business Mailing Address
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Address Line | 216 CAPRICE CT
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-2866
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Country | US
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Telephone | 719-651-3218
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Fax | 877-805-7372
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.1000655-NP
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License Number State | CO
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