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General NPI Number Information
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NPI Number | 1144014556
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Entity Type | Organization
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Legal Business Name | BE WELL PRIMARY CARE LLC
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 19600 E PARKER SQUARE DR STE 120
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City | PARKER
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State | CO
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Zip | 80134-7322
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Country | US
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Telephone | 720-770-0966
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Fax |
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Provider Business Mailing Address
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Address Line | 6041 KING CT
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City | PARKER
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State | CO
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Zip | 80134-7528
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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 | HOLLY LUKENBILL
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Credential | FNP
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Telephone | 303-506-2835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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