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General NPI Number Information
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NPI Number | 1164050902
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Entity Type | Individual
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Provider Name | ELISABETH SUSANNE LITTLETON AGCNS-BC, APRXN
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Gender | Female
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Dates
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Enumeration Date | 03/28/2020
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Last Update Date | 03/28/2020
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Provider Practice Location Address
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Address Line | 6415 MONTANO PL
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City | CASTLE PINES
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State | CO
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Zip | 80108
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Country | US
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Telephone | 720-635-2968
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Fax | 720-200-4906
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Provider Business Mailing Address
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Address Line | 6415 MONTANO PL
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City | CASTLE PINES
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State | CO
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Zip | 80108
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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 |
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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 | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | APN.0995264-CNS
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License Number State | CO
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