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General NPI Number Information
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NPI Number | 1073235180
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Entity Type | Individual
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Provider Name | CORY R PETICOLAS FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/15/2022
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 2801 PURCELL ST
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City | BRIGHTON
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State | CO
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Zip | 80601-3551
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Country | US
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Telephone | 303-558-0515
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Fax |
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Provider Business Mailing Address
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Address Line | 6107 S WESTVIEW ST
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City | LITTLETON
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State | CO
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Zip | 80120-2837
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Country | US
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Telephone | 720-280-2595
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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 | 0997994
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License Number State | CO
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