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General NPI Number Information
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NPI Number | 1043865793
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Entity Type | Individual
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Provider Name | ANGELINA MARIE HEUER
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Gender | Female
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Dates
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Enumeration Date | 08/08/2019
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | 4090 BRIARGATE PARKWAY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920
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Country | US
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Telephone | 618-980-2038
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Fax |
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Provider Business Mailing Address
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Address Line | 22652 E BELLEWOOD DR
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City | CENTENNIAL
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State | CO
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Zip | 80015-6789
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Country | US
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Telephone | 618-980-2038
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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 | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 1652122
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | APN.0994907-NP
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License Number State | CO
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