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General NPI Number Information
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NPI Number | 1104002609
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Entity Type | Individual
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Provider Name | ERIN M FASSL CNM
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Gender | Female
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 07/14/2011
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Provider Practice Location Address
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Address Line | 9141 GRANT ST SUITE B45
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City | THORNTON
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State | CO
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Zip | 80229-4369
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Country | US
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Telephone | 303-450-6667
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Fax | 303-457-6742
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Provider Business Mailing Address
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Address Line | 4900 S MONACO ST SUITE 210
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City | DENVER
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State | CO
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Zip | 80237-3486
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Country | US
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Telephone | 303-450-6667
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Fax | 303-457-6742
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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 | APN13192
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 189642
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License Number State | CO
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