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General NPI Number Information
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NPI Number | 1164417606
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Entity Type | Individual
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Provider Name | JULIE A. TENBROOK NP
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Gender | Female
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 4050 COON RAPIDS BLVD NW
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City | COON RAPIDS
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State | MN
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Zip | 55433-2522
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Country | US
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Telephone | 612-262-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 N GRANT ST STE R
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City | DENVER
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State | CO
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Zip | 80203-1859
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Country | US
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Telephone | 720-778-0708
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 202204006NP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 34487
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024188254
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP95006278
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-APN.0002358-C-NP
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0002358-C-NP
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0002358-C-NP
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License Number State | CO
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