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General NPI Number Information
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NPI Number | 1194620286
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Entity Type | Organization
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Legal Business Name | ALTERA HEALTH AND WELLNESS PLLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 5827 W IDA DR
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City | LITTLETON
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State | CO
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Zip | 80123-0868
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Country | US
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Telephone | 719-839-5801
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Fax |
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Provider Business Mailing Address
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Address Line | 5827 W IDA DR
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City | LITTLETON
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State | CO
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Zip | 80123-0868
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Country | US
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Telephone | 719-839-5801
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. NICOLE KHAZEI
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Credential | DNP, APRN, AGPCNP-C,
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Telephone | 719-839-5801
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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 |
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License Number State | NULL
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