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General NPI Number Information
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NPI Number | 1184465643
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Entity Type | Individual
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Provider Name | BRITTON R CALVERT NURSE PRACTITIONER
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Gender | Male
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/11/2024
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Provider Practice Location Address
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Address Line | 2616 E 120TH AVE
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City | THORNTON
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State | CO
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Zip | 80233-1412
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Country | US
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Telephone | 720-751-2910
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Fax | 720-751-2911
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Provider Business Mailing Address
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Address Line | 6335 SHERIDAN BLVD
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City | ARVADA
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State | CO
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Zip | 80003-5231
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Country | US
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Telephone | 720-502-0466
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Fax | 720-912-4691
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0999817
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License Number State | CO
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