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General NPI Number Information
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NPI Number | 1164245171
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Entity Type | Individual
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Provider Name | RAMONA KAY FONSECA-NAVA RN
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Gender | Female
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 1010 THREE SPRINGS BLVD
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City | DURANGO
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State | CO
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Zip | 81301-8296
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Country | US
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Telephone | 970-764-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 600 DOVE RANCH RD
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City | BAYFIELD
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State | CO
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Zip | 81122-9868
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Country | US
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Telephone | 970-880-0544
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN0200862
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License Number State | CO
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