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General NPI Number Information
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NPI Number | 1104468826
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Entity Type | Individual
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Provider Name | LEANNA NICOLE HUTTO FNP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2019
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 183 S TAYLOR AVE UNIT 158
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City | LOUISVILLE
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State | CO
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Zip | 80027-3150
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Country | US
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Telephone | 303-449-9494
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Fax |
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Provider Business Mailing Address
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Address Line | 183 S TAYLOR AVE
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City | LOUISVILLE
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State | CO
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Zip | 80027-3151
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Country | US
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Telephone | 470-364-7797
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APN.0100169-C-NP
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License Number State | CO
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