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General NPI Number Information
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NPI Number | 1174980304
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Entity Type | Individual
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Provider Name | MOLLY JEAN GLEASON APRN
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Gender | Female
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 2525 S DOWNING ST UNIT 5N
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City | DENVER
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State | CO
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Zip | 80210-5817
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Country | US
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Telephone | 303-715-7089
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Fax | 303-649-7095
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Provider Business Mailing Address
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Address Line | 2525 S DOWNING ST FL 5
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City | DENVER
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State | CO
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Zip | 80210-5817
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Country | US
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Telephone | 303-715-7127
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Fax | 303-727-2834
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 5377074
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APN.0992902-NP
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License Number State | CO
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