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General NPI Number Information
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NPI Number | 1053697110
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Entity Type | Individual
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Provider Name | DAVID NEE R.N.
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Gender | Male
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Dates
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Enumeration Date | 11/02/2011
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 1650 COCHRANE CIR BUILDING 2059
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City | FORT CARSON
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State | CO
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Zip | 80913-4603
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Country | US
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Telephone | 719-526-6414
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Fax |
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Provider Business Mailing Address
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Address Line | 5620 WELLS FARGO DR E
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-5200
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Country | US
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Telephone | 719-375-1155
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 621612
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License Number State | TX
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