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General NPI Number Information
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NPI Number | 1134839855
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Entity Type | Organization
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Legal Business Name | BIG LIFE INTEGRATIVE HEALTH
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 8683 E LINCOLN AVE STE 110
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City | LONE TREE
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State | CO
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Zip | 80124-9812
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Country | US
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Telephone | 303-952-8832
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Fax |
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Provider Business Mailing Address
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Address Line | 8683 E LINCOLN AVE STE 110
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City | LONE TREE
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State | CO
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Zip | 80124-9812
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEGHAN VINCENT
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Credential |
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Telephone | 303-952-8832
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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 |
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License Number State |
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