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General NPI Number Information
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NPI Number | 1114996998
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Entity Type | Individual
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Provider Name | JULIE ANNE UNRUH APRN, FNP
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Gender | Female
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 6965 TUTT BLVD STE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-3598
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Country | US
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Telephone | 719-377-3477
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Fax | 760-267-9162
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Provider Business Mailing Address
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Address Line | PO BOX 3525
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City | MONUMENT
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State | CO
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Zip | 80132-3525
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Country | US
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Telephone | 719-650-1519
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Fax | 760-267-9162
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | C12070
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0990719
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License Number State | CO
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