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General NPI Number Information
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NPI Number | 1174436240
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Entity Type | Organization
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Legal Business Name | BEACON WOUND CARE PLLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 864 N 19TH ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-3086
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Country | US
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Telephone | 719-325-5187
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Fax |
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Provider Business Mailing Address
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Address Line | 9980 SILVER MAPLE RD
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-5469
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Country | US
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Telephone | 303-351-1410
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Fax | 303-590-3230
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Authorized Official
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Title or Position | CEO
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Name | JENNIFER LEIGH GRAFF
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Credential | AGPCNP-BC
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Telephone | 303-351-1410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State | NULL
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