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General NPI Number Information
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NPI Number | 1073232583
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Entity Type | Individual
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Provider Name | ALAINA WIRT AGCNS-BC
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Gender | Female
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Dates
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Enumeration Date | 08/26/2022
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 1400 E BOULDER ST STE 2508
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5533
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Country | US
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Telephone | 719-365-5937
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Fax | 719-365-8445
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Provider Business Mailing Address
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Address Line | 1400 E BOULDER ST STE 2508
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5533
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Country | US
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Telephone | 719-365-5937
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Fax | 719-365-8445
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0995985-CNS
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | APN.0995985-CNS
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | APN.0995985-CNS
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | APN.0995985-CNS
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License Number State | CO
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