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General NPI Number Information
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NPI Number | 1194634014
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Entity Type | Organization
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Legal Business Name | NORTHSTAR HOME PRIMARY CARE LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 7900 E UNION AVE
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City | DENVER
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State | CO
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Zip | 80237-2735
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Country | US
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Telephone | 720-372-3709
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Fax |
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Provider Business Mailing Address
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Address Line | 7900 E UNION AVE
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City | DENVER
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State | CO
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Zip | 80237-2735
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Country | US
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Telephone | 720-372-3709
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | AUDREY WELSH
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Credential | FNP
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Telephone | 720-224-7658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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