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General NPI Number Information
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NPI Number | 1083224695
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Entity Type | Individual
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Provider Name | JANELLE ADRIENNE CENDANA AGUILON APRN-CNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 9101 PEARL ST STE 217
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City | THORNTON
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State | CO
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Zip | 80229-4353
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Country | US
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Telephone | 720-994-4810
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Fax | 720-994-4811
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Provider Business Mailing Address
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Address Line | #1075 1601 29TH ST SUITE 1292
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City | BOULDER
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State | CO
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Zip | 80301
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Country | US
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Telephone | 720-994-4810
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Fax | 720-994-4811
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0995770-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.1666993
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License Number State | CO
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