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General NPI Number Information
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NPI Number | 1164188306
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Entity Type | Individual
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Provider Name | KATIE DIREEN REEVES FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/11/2021
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 8000 W IH 10 STE 240
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City | SAN ANTONIO
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State | TX
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Zip | 78230-3868
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Country | US
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Telephone | 303-993-1330
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5486
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City | DENVER
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State | CO
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Zip | 80217-5486
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Country | US
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Telephone | 720-923-1250
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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 | APN.0997075-NP
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License Number State | CO
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