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General NPI Number Information
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NPI Number | 1053448753
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Entity Type | Individual
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Provider Name | KATHY F SHAW RN, DNP
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Gender | Female
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 3525 W OXFORD AVE # G3
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City | DENVER
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State | CO
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Zip | 80236-3106
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Country | US
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Telephone | 303-797-4260
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Fax |
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Provider Business Mailing Address
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Address Line | 13120 E 19TH AVE MAIL STOP C 288-19
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City | AURORA
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State | CO
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Zip | 80045-2567
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Country | US
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Telephone | 303-724-8528
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | RN.0200380
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License Number State | CO
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