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General NPI Number Information
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NPI Number | 1174833461
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Entity Type | Individual
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Provider Name | KRISTYN MARIE MAGULAK RILEY ANP
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Gender | Female
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 1770 ELM ST
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City | GOLDEN
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State | CO
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Zip | 80401-1812
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Country | US
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Telephone | 33-273-3381
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Fax | 303-273-3623
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Provider Business Mailing Address
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Address Line | 1770 ELM ST
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City | GOLDEN
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State | CO
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Zip | 80401-1812
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Country | US
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Telephone | 33-273-3381
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Fax | 303-273-3623
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 209.007759
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License Number State | IL
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