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General NPI Number Information
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NPI Number | 1053124818
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Entity Type | Individual
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Provider Name | DORAN RICHARD TREGARTHEN FNP
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Gender | Male
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 230 HOTCHKISS AVE
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City | HOTCHKISS
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State | CO
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Zip | 81419-7608
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Country | US
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Telephone | 970-872-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 3916 1940 RD
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City | DELTA
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State | CO
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Zip | 81416-8311
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Country | US
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Telephone | 970-250-8975
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.1000487-NP
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License Number State | CO
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