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General NPI Number Information
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NPI Number | 1043787153
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Entity Type | Individual
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Provider Name | ELIZABETH A VORST NP
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Gender | Female
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Dates
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Enumeration Date | 10/26/2018
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 1440 COFFMAN ST
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City | LONGMONT
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State | CO
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Zip | 80501-2726
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Country | US
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Telephone | 303-776-2814
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Fax |
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Provider Business Mailing Address
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Address Line | 11865 W 65TH PL
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City | ARVADA
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State | CO
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Zip | 80004-2403
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Country | US
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Telephone | 513-505-7133
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0994107
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0994107
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License Number State | CO
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