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General NPI Number Information
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NPI Number | 1063871614
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Entity Type | Individual
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Provider Name | ANN KATHLEEN MCCULLOUGH APN
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Gender | Female
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Dates
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Enumeration Date | 02/10/2016
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 8175 SHERIDAN BLVD UNIT N
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City | ARVADA
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State | CO
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Zip | 80003-1928
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Country | US
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Telephone | 303-557-0855
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 1 EMBARCADERO CTR FL 19
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-3628
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Country | US
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Telephone |
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Fax | 415-252-7176
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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 | N361688044
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 325167
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.013695
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61686185
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0994318-NP
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License Number State | CO
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