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General NPI Number Information
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NPI Number | 1093619421
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Entity Type | Individual
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Provider Name | KARLIE MARIE SUPER
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Gender | Female
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 10190 E MONTVIEW BLVD
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City | AURORA
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State | CO
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Zip | 80010-2202
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Country | US
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Telephone | 303-318-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 825 DAHLIA ST APT 608
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City | DENVER
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State | CO
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Zip | 80220-4228
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Country | US
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Telephone | 913-909-0559
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | CO
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