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General NPI Number Information
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NPI Number | 1093427924
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Entity Type | Organization
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Legal Business Name | AV8R & NP PLLC
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Dates
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Enumeration Date | 12/22/2022
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 11027 S PIKES PEAK DR STE 105
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City | PARKER
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State | CO
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Zip | 80138-7361
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Country | US
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Telephone | 303-351-2202
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Fax |
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Provider Business Mailing Address
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Address Line | 11027 S PIKES PEAK DR STE 105
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City | PARKER
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State | CO
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Zip | 80138-7361
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Country | US
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Telephone | 303-351-2202
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Fax |
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Authorized Official
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Title or Position | OWNER/ PROVIDER
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Name | MS. JILL AYN ORR
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Credential | MSN, APRN, PMHNP-BC
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Telephone | 303-550-1979
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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 |
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License Number State |
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