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General NPI Number Information
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NPI Number | 1093348526
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Entity Type | Individual
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Provider Name | JULIANA ESTRADA PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2020
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 1001 BANNOCK ST STE 629
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City | DENVER
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State | CO
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Zip | 80204-4150
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Country | US
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Telephone | 720-615-0150
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Fax |
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Provider Business Mailing Address
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Address Line | 450 W 14TH AVE UNIT 40418
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City | DENVER
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State | CO
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Zip | 80204-6217
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP145100
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-APN.0001922-C-NP
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License Number State | CO
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